100 Chiro Peterson Walfoort, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

100 CHIRO PETERSON WALFOORT, LLC

Practice address

1921 Preston Rd Ste B2008
Plano, TX 75093-5124

Phone

(719) 252-8184

NPI assigned

Nov 30, 2021

Last updated

Nov 30, 2021By 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

Dr. Michael PetersonNPI 1811358997

Title

Franchisee

Phone

(719) 252-8184

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Michael Peterson, D.C.

  • Chiropractor
  • Fairview, TX
  • NPI 1811358997
  NPD Authorized official
• Bianca Craig, DC

  • Chiropractor
  • Plano, TX
  • NPI 1033866876
  NPD

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

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638230400000",
    "number": "1083372767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 PRESTON RD STE B2008",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935124",
            "telephone_number": "719-252-8184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 PRESTON RD STE B2008",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935124",
            "telephone_number": "719-252-8184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "100 CHIRO PETERSON WALFOORT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-30",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "FRANCHISEE",
        "authorized_official_telephone_number": "719-252-8184",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Plano, TX
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; 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.