Individual provider Active NPI

Randall Scott Perry, D.C.

  • Independent Medical Examiner Chiropractor
  • Sacramento, CA
National Provider Identifier
1962627141
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Medical Examiner ChiropractorTaxonomy code 111NI0013X
License
DC19943 Issued in CA
Practice address
3000 Arden Way
Suite Number 1a
Sacramento, CA 95825-2000
Phone
(916) 488-5560
Fax
(916) 488-5597
NPI assigned
Apr 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Medical Examiner Chiropractor 111NI0013X DC19943 CA Primary

Addresses

Primary practice location

3000 Arden Way
Suite Number 1a
Sacramento, CA 95825-2000

Mailing address

3000 Arden Way
Suite Number 1a
Sacramento, CA 95825-2000
Phone (916) 488-5560

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

NPI Registry JSON

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

{
    "created_epoch": "1176508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962627141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 ARDEN WAY",
            "address_2": "SUITE NUMBER 1A",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958252000",
            "telephone_number": "916-488-5560",
            "fax_number": "916-488-5597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 ARDEN WAY",
            "address_2": "SUITE NUMBER 1A",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958252000",
            "telephone_number": "916-488-5560",
            "fax_number": "916-488-5597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "RANDALL",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0013X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "CA",
            "license": "DC19943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.