100 Chiro Speterson LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

100 CHIRO SPETERSON LLC

Practice address

20004 N 67TH Ave Ste 502
Glendale, AZ 85308-4623

Phone

(513) 544-0025

NPI assigned

Oct 2, 2024

Organization subpart

No

Name

Steven Peterson

Title

Owner

Phone

(513) 544-0025

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

• John W Thuerck III, DC

  • Chiropractor
  • Goodyear, AZ
  • NPI 1346356896

  AZ, Chiropractor

  Medicare reassignment Care Compare group NPD
• Nicholas Reed Maassen, DC

  • Chiropractor
  • Scottsdale, AZ
  • NPI 1992362107

  AZ

  Medicare reassignment Care Compare group

Medicare fee-for-service enrollment

Enrolled in AZ

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 7, 2024.

{
    "created_epoch": "1727827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730937600000",
    "number": "1124846597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20004 N 67TH AVE STE 502",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853084623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20004 N 67TH AVE STE 502",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853084623",
            "telephone_number": "513-544-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "100 CHIRO SPETERSON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-02",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-544-0025"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 1918 Winter Street Operating Co LLC
• 1918 Winter Street Operating Co LLC
• 1918 Winter Street Operating Co LLC
• 20 10 Vision Associates P C
• 20/20 Image Glendale PLC

• All providers in Glendale, AZ
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; 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.