Peter Kladstrup, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6731-1 Issued in NY

Practice address

565 Perinton Hills Office Park
Fairport, NY 14450-3610

Phone

(585) 425-3626

Fax

(585) 425-0202

NPI assigned

Jan 9, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dr. Peter L. Kladstrup, D.C., P.C.

  • Chiropractor
  • Fairport, NY
  • NPI 1750667077
  NPD (past) Authorized official

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063561934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 PERINTON HILLS OFFICE PARK",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144503610",
            "telephone_number": "585-425-3626",
            "fax_number": "585-425-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 PERINTON HILLS OFFICE PARK",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144503610",
            "telephone_number": "585-425-3626",
            "fax_number": "585-425-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLADSTRUP",
        "first_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "6731-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Helen King, PMHNP, CNS BC
• Andrew Thomas Kingdon
• Valerie Kirk, M.S.
• Elizabeth Anne Kiss, DNP, FNP
• Katelyn Kivinen
• Katie Klatt, SP. ED. TEACHER
• Sarah Falter Klimasewski, M.S.
• Mary Klimek
• Emily Kline, RN
• Allison Beth Kling Simonian, MSPT

• Chiropractor in Fairport, NY
• Providers in Fairport, NY by specialty
• Chiropractor in New York

• 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.