Individual provider Active NPI

Peter Clayton Challenor, RN, LAC

  • Acupuncturist
  • Antioch, CA
National Provider Identifier
1033410683
Registry record updated Nov 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC4247 Issued in CA
Practice address
2 Belshaw St
Antioch, CA 94509-2609
Phone
(925) 755-7000
Fax
(925) 755-7007
NPI assigned
Nov 14, 2010
Last updated
Nov 14, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC4247 CA Primary

Addresses

Primary practice location

2 Belshaw St
Antioch, CA 94509-2609

Mailing address

2 Belshaw St
Antioch, CA 94509-2609
Phone (925) 755-7000

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
AC4247CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1289692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289692800000",
    "number": "1033410683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BELSHAW ST",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945092609",
            "telephone_number": "925-755-7000",
            "fax_number": "925-755-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 BELSHAW ST",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945092609",
            "telephone_number": "925-755-7000",
            "fax_number": "925-755-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHALLENOR",
        "first_name": "PETER",
        "middle_name": "CLAYTON",
        "name_prefix": "Mr.",
        "credential": "RN, LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-14",
        "last_updated": "2010-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC4247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Antioch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.

Verify at the official NPI Registry.