James R Peters

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

JAMES R PETERS

Practice address

920 W Water St
Suite 2
Hancock, MI 49930-1949

Phone

(906) 483-2420

Fax

(906) 483-4634

NPI assigned

Aug 5, 2008

Last updated

Jul 7, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James R Peters, C.PEDNPI 1184800419

Title

Owner

Phone

(906) 483-2420

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• James R Peters

  • Pedorthist
  • Hancock, MI
  • NPI 1184800419
  Authorized official Same address or phone

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

{
    "created_epoch": "1217894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309996800000",
    "number": "1013173426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 W WATER ST",
            "address_2": "SUITE 2",
            "city": "HANCOCK",
            "state": "MI",
            "postal_code": "499301949",
            "telephone_number": "906-483-2420",
            "fax_number": "906-483-4634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 W WATER ST",
            "address_2": "SUITE 2",
            "city": "HANCOCK",
            "state": "MI",
            "postal_code": "499301949",
            "telephone_number": "906-483-2420",
            "fax_number": "906-483-4634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES R PETERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-05",
        "last_updated": "2011-07-07",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "906-483-2420",
        "authorized_official_credential": "C.PED"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Hancock, MI
• Providers in Hancock, MI by specialty
• Prosthetic/Orthotic Supplier in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2011; 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.