Stephen Richard Perry, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

B01420 Issued in NV

Practice address

1500 E Heritage Park St Ste 125
Meridian, ID 83646-5887

Phone

(208) 968-9688

NPI assigned

Nov 21, 2011

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Active Family Chiropractic

  • Chiropractor
  • Meridian, ID
  • NPI 1376107821
  NPD Authorized official
• SNP Holdings, LLC

  • Chiropractor
  • Meridian, ID
  • NPI 1144783150
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1321833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556582400000",
    "number": "1932476827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 GREEN VISTA DR",
            "address_2": "#102",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894318546",
            "telephone_number": "775-337-0184",
            "fax_number": "775-337-2395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E HERITAGE PARK ST STE 125",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836465887",
            "telephone_number": "208-968-9688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1002 E Legacy View Dr",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "836461764",
            "country_code": "US",
            "telephone_number": "208-968-9688",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2115 Green Vista Dr",
            "address_2": "#102",
            "address_purpose": "LOCATION",
            "city": "Sparks",
            "state": "NV",
            "postal_code": "894318546",
            "country_code": "US",
            "telephone_number": "775-337-0184",
            "fax_number": "775-337-2395",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERRY",
        "first_name": "STEPHEN",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-21",
        "last_updated": "2019-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B01420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanya Perkins, COTA/L
• Misa Perron-Burdick, MD
• Benjamin Merrill Perry, D.O.
• Katelyn A Perry, LPC
• Sean Perry, DDS
• Denise Peruski, FNP-C
• Kerrie L Petech, R.N. ARNP-CNP
• David L Peterman, MD
• Angela Lynn Peters, BSIS
• Marcy Lynn Peters, LCSW

• Chiropractor in Meridian, ID
• Providers in Meridian, ID by specialty
• Chiropractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.