Active NPI
Michael R Perusich, DC
- Chiropractor
- Sedalia, MO
National Provider Identifier
1942396403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1999134950
- Practice address
- 910 Thompson Blvd
Sedalia, MO 65301 - Phone
- (660) 829-2600
- Fax
- (660) 829-2607
- NPI assigned
- Oct 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1999134950 | MO | Primary |
| Chiropractor | 111N00000X | 01-04637 | KS |
Addresses
Primary practice location
910 Thompson Blvd
Sedalia, MO 65301
Mailing address
910 Thompson Blvd
Sedalia, MO 65301-2241
Phone (660) 829-2600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04637 | KS | MD | Professional Counselor |
| 01-04637 | KS | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280275200000",
"number": "1942396403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 THOMPSON BLVD",
"city": "SEDALIA",
"state": "MO",
"postal_code": "653012241",
"telephone_number": "660-829-2600",
"fax_number": "660-829-2607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 THOMPSON BLVD",
"city": "SEDALIA",
"state": "MO",
"postal_code": "65301",
"telephone_number": "660-829-2600",
"fax_number": "660-829-2607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERUSICH",
"first_name": "MICHAEL",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2010-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "1999134950",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KS",
"license": "01-04637",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sedalia, MO
- Amanda Kay Paul
- Pearle Vision Inc (Pearle Vision #C6210)
- Amy Perez
- Rodingson Ramos Perez, P.T.
- Perusich Chiropractic Associates, LLC (Backbone of Health)
- Andrea Nicole Petersen, DNP, FNP
- Pettis County Ambulance District
- Pettis County Assisted Living, L.L.C.
- Pettis County Board of Services for the Developmentally Disabled
- Pettis County Health Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.