Chicoine Peterson Chiropractic Clinic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

04630 Issued in IA

Legal business name

CHICOINE PETERSON CHIROPRACTIC CLINIC

Practice address

824 Morningside Ave
Sioux City, IA 51106-4801

Phone

(712) 276-9700

Fax

(712) 276-9409

NPI assigned

Feb 28, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Lin L Peterson, D.C.

Title

Owner

Phone

(712) 276-9700

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Lin L. Peterson D.C. P.C. Doing business as

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lin Chicoine Peterson

  • Chiropractor
  • Sioux City, IA
  • NPI 1477527422

  IA

  Medicare reassignment
• Alex Matthew Habeger, DC

  • Chiropractor
  • Sioux City, IA
  • NPI 1982179289
  NPD (past)

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436227200000",
    "number": "1124297601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 MORNINGSIDE AVE",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511064801",
            "telephone_number": "712-276-9700",
            "fax_number": "712-276-9409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 MORNINGSIDE AVE",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511064801",
            "telephone_number": "712-276-9700",
            "fax_number": "712-276-9409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICOINE PETERSON CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2015-07-07",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "LIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "712-276-9700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "04630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IOWA",
            "identifier": "16262",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "CP8154",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0162628",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lin L. Peterson D.C. P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sean Everette Chartier, DC
• Patrick Kee Chau, M.D.
• Minaxi Shankarbhai Chaudhari
• Zean Chen, MD
• Li CHI Chew, MD
• Lin Chicoine Peterson
• Alexi J. Chicoine, MSN, ARNP, NNP-BC
• Bradley A Chicoine, DC
• Jennifer Leigh Chicoine, D.C.
• Nicholas Bradley Chicoine, D.C.

• All providers in Sioux City, IA
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.