Active NPI
Donald Albert Peterson, DC
- Chiropractor
- Palmer Lake, CO
National Provider Identifier
1104821362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5463
- Practice address
- 835 Highway 105
Suite a
Palmer Lake, CO 80133-9069 - Phone
- (719) 332-6201
- NPI assigned
- Jun 15, 2005
- Sex
- Male
- 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 | 5463 | CO | Primary |
Addresses
Primary practice location
835 Highway 105
Suite a
Palmer Lake, CO 80133-9069
Mailing address
835 Highway 105
Suite a
Palmer Lake, CO 80133-9069
Phone (719) 332-6201
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5463 | CO | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Balance Chiropractic Inc | Chiropractor | Past | Accepting new patients |
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
- Palmer Lake, CO
- NPI 1699096743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336694400000",
"number": "1104821362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "835 HIGHWAY 105",
"address_2": "SUITE A",
"city": "PALMER LAKE",
"state": "CO",
"postal_code": "801339069",
"telephone_number": "719-332-6201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "835 HIGHWAY 105",
"address_2": "SUITE A",
"city": "PALMER LAKE",
"state": "CO",
"postal_code": "801339069",
"telephone_number": "719-332-6201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "DONALD",
"middle_name": "ALBERT",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-15",
"last_updated": "2012-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "5463",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palmer Lake, CO
- Elissa Marie Mendieta, LAC
- Danielle Monette, COTA
- Monumental Therapy Group PLLC
- Samantha Myers, LCSW
- Birgitte Darum Pegues, RNFA
- Amanda Jessica Phillips, ACD.0002692
- Veronica Ann Phillips, SOCIAL WORKER
- Tina Piantidosi-Hall, LCSW
- Recovery Village at Palmer Lake, LLC
- Recovery Village at Palmer Lake, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.