Individual provider Active NPI

Peter McDuff, D.C.

  • Neurology Chiropractor
  • Walnut Creek, CA
National Provider Identifier
1104917566
Registry record updated Aug 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
DC25349 Issued in CA
Practice address
3075 Citrus Cir
Suite 175
Walnut Creek, CA 94598-2666
Phone
(925) 933-3000
Fax
(925) 933-3007
NPI assigned
Sep 28, 2006
Last updated
Aug 16, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Chiropractor 111NN0400X DC25349 CA Primary

Addresses

Primary practice location

3075 Citrus Cir
Suite 175
Walnut Creek, CA 94598-2666

Mailing address

3075 Citrus Cir
Suite 175
Walnut Creek, CA 94598-2666
Phone (925) 933-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040922000539 CA Practitioner - Chiropractic 0840268306 Practice locations: Pleasant Hill, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2100 Monument Blvd
Suite 16
Pleasant Hill, CA 94523-3400
Phone (925) 933-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC25349CAMDNeurology Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Burton H Baker MD a Medical Corporation 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345075200000",
    "number": "1104917566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3075 CITRUS CIR",
            "address_2": "SUITE 175",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982666",
            "telephone_number": "925-933-3000",
            "fax_number": "925-933-3007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3075 CITRUS CIR",
            "address_2": "SUITE 175",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982666",
            "telephone_number": "925-933-3000",
            "fax_number": "925-933-3007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDUFF",
        "first_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2012-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "CA",
            "license": "DC25349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.