Active NPI
Michelle Nicole Peters, D.C.
- Chiropractor
- Arlington, TX
National Provider Identifier
1013283696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 9678
- Practice address
- 3330 Matlock Rd
Suite 206
Arlington, TX 76015-2921 - Phone
- (817) 465-2225
- Fax
- (817) 719-9342
- NPI assigned
- Mar 28, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 9678 | TX | Primary |
Addresses
Primary practice location
3330 Matlock Rd
Suite 206
Arlington, TX 76015-2921
Mailing address
3330 Matlock Rd
Ste 206
Arlington, TX 76015-2921
Phone (817) 465-2225
Other names 1
- Michelle N Montgomery
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3330 Matlock Rd
Suite 206
Arlington, TX 76015-2921
Phone (817) 465-2225
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9678 | TX | MD | Addiction (Substance Use Disorder) Counselor |
Networks
- TX HMO D-SNP
- TX HMO
- NM HMO C-SNP
Organizations & group practices 1
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.
-
- Chiropractor
- Arlington, TX
- NPI 1538435136
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592352000000",
"number": "1013283696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3330 MATLOCK RD",
"address_2": "STE 206",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760152921",
"telephone_number": "817-465-2225",
"fax_number": "817-719-9342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3330 MATLOCK RD",
"address_2": "SUITE 206",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760152921",
"telephone_number": "817-465-2225",
"fax_number": "817-719-9342"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERS",
"first_name": "MICHELLE",
"middle_name": "NICOLE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-28",
"last_updated": "2020-06-17",
"certification_date": "2020-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "9678",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "MONTGOMERY",
"middle_name": "N",
"credential": "D.C.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.