Active NPI
Stewart Todd Peters, D.C.
- Chiropractor
- Charlotte, NC
National Provider Identifier
1093994816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3772
- Practice address
- 11220 Golf Links Drive
Charlotte, NC 28277 - Phone
- (704) 901-7192
- NPI assigned
- Oct 29, 2007
- Last updated
- Mar 17, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 | 3772 | NC | Primary |
Addresses
Primary practice location
11220 Golf Links Drive
Charlotte, NC 28277
Mailing address
PO Box 686
Chanhassen, MN 55317-0686
Phone (952) 229-7464
Other practice location 1
2721 X Ray Dr
Gastonia, NC 28054-7491
Phone (704) 853-5079
Other practice location 2
2721 X Ray Dr
Gastonia, NC 28054-7491
Phone (704) 853-5079
Other practice location 3
257 S Elliott Rd
Chapel Hill, NC 27514-5831
Phone (919) 942-1182
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiropractic Fitness Centers PC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Charlotte, NC
- NPI 1154824274
-
- Chiropractor
- Raleigh, NC
- NPI 1023178597
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1093994816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 686",
"city": "CHANHASSEN",
"state": "MN",
"postal_code": "553170686",
"telephone_number": "952-229-7464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11220 GOLF LINKS DRIVE",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28277",
"telephone_number": "704-901-7192"
}
],
"practiceLocations": [
{
"address_1": "2721 X Ray Dr",
"address_purpose": "LOCATION",
"city": "Gastonia",
"state": "NC",
"postal_code": "280547491",
"country_code": "US",
"telephone_number": "704-853-5079",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2721 X Ray Dr",
"address_purpose": "LOCATION",
"city": "Gastonia",
"state": "NC",
"postal_code": "280547491",
"country_code": "US",
"telephone_number": "704-853-5079",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "257 S Elliott Rd",
"address_purpose": "LOCATION",
"city": "Chapel Hill",
"state": "NC",
"postal_code": "275145831",
"country_code": "US",
"telephone_number": "919-942-1182",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PETERS",
"first_name": "STEWART",
"middle_name": "TODD",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-10-29",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "3772",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.