Organization Active NPI

Peremyd Healthcare

  • Chiropractor
  • Dallas, TX
National Provider Identifier
1952609364
Registry record updated Dec 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC6007 Issued in TX
Legal business name
PEREMYD HEALTHCARE
Practice address
329 Centre St
Dallas, TX 75208-6505
Phone
(972) 942-8100
Fax
(214) 942-8100
NPI assigned
Mar 9, 2011
Last updated
Dec 26, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2012

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

Authorized official

Name
Mr. Jerald Donald Kelly, D.C.
Title
Treating Doctor
Phone
(214) 942-8100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC6007 TX Primary

Addresses

Primary practice location

329 Centre St
Dallas, TX 75208-6505

Mailing address

329 Centre St
Dallas, TX 75208-6505
Phone (972) 942-8100

National Provider Directory

National Provider Directory

Locations

329 Centre St
Dallas, TX 75208
Phone (214) 942-8100

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1299628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356480000000",
    "number": "1952609364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 CENTRE ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752086505",
            "telephone_number": "972-942-8100",
            "fax_number": "214-942-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 CENTRE ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752086505",
            "telephone_number": "972-942-8100",
            "fax_number": "214-942-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEREMYD HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-09",
        "last_updated": "2012-12-26",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "JERALD",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "TREATING DOCTOR",
        "authorized_official_telephone_number": "214-942-8100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC6007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.