Active NPI
David M Peters, D.O.
- General Practice Physician
- Lansing, MI
National Provider Identifier
1104963156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- DP008207
- Practice address
- 6910 S Cedar St
Lansing, MI 48911-6912 - Phone
- (517) 694-4134
- Fax
- (517) 694-1629
- NPI assigned
- Jan 31, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DP008207 | MI | |
| General Practice Physician | 208D00000X | DP008207 | MI | Primary |
Addresses
Primary practice location
6910 S Cedar St
Lansing, MI 48911-6912
Mailing address
6910 S Cedar St
Lansing, MI 48911-6912
Phone (517) 694-4134
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1001919 | Other | MI | MCLAREN |
| DP008207 | Other | MI | LICENSE NUMBER |
| 700C361780 | Other | MI | BCBS |
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
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DP008207 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Management Cosultions | Family Medicine | Past | Accepting new patients |
| Vascular Access Services, PLLC | General Practice | 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 and National Provider Directory roles.
-
- Family Medicine Physician
- Lansing, MI
- NPI 1790004109
-
- General Practice Physician
- Lansing, MI
- NPI 1801013701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403654400000",
"number": "1104963156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6910 S CEDAR ST",
"city": "LANSING",
"state": "MI",
"postal_code": "489116912",
"telephone_number": "517-694-4134",
"fax_number": "517-694-1629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6910 S CEDAR ST",
"city": "LANSING",
"state": "MI",
"postal_code": "489116912",
"telephone_number": "517-694-4134",
"fax_number": "517-694-1629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERS",
"first_name": "DAVID",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-31",
"last_updated": "2014-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "DP008207",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "MI",
"license": "DP008207",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCLAREN",
"identifier": "1001919",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "DP008207",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "700C361780",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.