David Frederick Petters, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4856 Issued in NY

Practice address

1342 New Seneca Tpke
Skaneateles, NY 13152-8802

Phone

(315) 685-0710

Fax

(315) 685-8794

NPI assigned

Nov 4, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Casimir K Bobowski OD

  • Eyewear Supplier
  • Skaneateles, NY
  • NPI 1720240559
  NPD (past)
• Skiff Physical Therapy, PLLC

  • Physical Therapy Clinic/Center
  • Skaneateles, NY
  • NPI 1962862581
  NPD (past)

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

{
    "created_epoch": "1162598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104905512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1342 NEW SENECA TPKE",
            "city": "SKANEATELES",
            "state": "NY",
            "postal_code": "131528802",
            "telephone_number": "315-685-0710",
            "fax_number": "315-685-8794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1342 NEW SENECA TPKE",
            "city": "SKANEATELES",
            "state": "NY",
            "postal_code": "131528802",
            "telephone_number": "315-685-0710",
            "fax_number": "315-685-8794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTERS",
        "first_name": "DAVID",
        "middle_name": "FREDERICK",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "4856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS' COMPENSATION",
            "identifier": "CO 4856-3",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roswell George Newton Jr., D.D.S
• Sharon Gail Nichols, R.N.
• Shannon O'Toole, LMHC
• Peregrine Homecare
• Peregrine Homecare Strategies of Ny LLC
• Brooke Pettis, RDN
• Kristen Guest Pfau, MD
• Marc P Pietropaoli, MD
• Katherine Bishop Pitman, PT,DPT
• Grace Plvan, LCSW

• Chiropractor in Skaneateles, NY
• Providers in Skaneateles, 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.