Individual provider Active NPI

Peter L Begres, D C P C

  • Chiropractor
  • Iron Mountain, MI
National Provider Identifier
1124129093
Registry record updated Mar 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
PB005181 Issued in MI
Practice address
918 Cedar Ave
Iron Mountain, MI 49801-3452
Phone
(906) 774-4980
Fax
(906) 774-9698
NPI assigned
Sep 25, 2006
Last updated
Mar 21, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X PB005181 MI Primary

Addresses

Primary practice location

918 Cedar Ave
Iron Mountain, MI 49801-3452

Mailing address

918 Cedar Ave
Iron Mountain, MI 49801-3452
Phone (906) 774-4980

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120326000575 MI Practitioner - Chiropractic 7618921065 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peter L Begres P CGroup PAC ID 2365496700, 2 clinicians

Practice addresses (Care Compare)

918 Cedar Ave
Iron Mountain, MI 49801-3452
Phone (906) 774-4980

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PB005181MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Peter L Begres P C Chiropractor CurrentSince Aug 31, 1998 Accepting new patients
Dr Brian Begres DC PC Chiropractor PastSince Sep 1, 1998 Accepting new patients

Locations

918 Cedar Ave
Iron Mountain, MI 49801
Phone (906) 239-0115

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.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332288000000",
    "number": "1124129093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 CEDAR AVE",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "498013452",
            "telephone_number": "906-774-4980",
            "fax_number": "906-774-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 CEDAR AVE",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "498013452",
            "telephone_number": "906-774-4980",
            "fax_number": "906-774-9698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEGRES",
        "first_name": "PETER",
        "middle_name": "L",
        "credential": "D C P C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2012-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "PB005181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iron Mountain, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.