Individual provider Active NPI

William B Peltier, D.C.

  • Chiropractor
  • Huber Heights, OH
National Provider Identifier
1174654404
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1806 Issued in OH
Practice address
5685 Shull Rd
Huber Heights, OH 45424-1203
Phone
(937) 236-0464
NPI assigned
Mar 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1806 OH Primary

Addresses

Primary practice location

5685 Shull Rd
Huber Heights, OH 45424-1203

Mailing address

5685 Shull Rd
Huber Heights, OH 45424-1203
Phone (937) 236-0464

Other names 1

  • William B Peltier Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040507000256 OH Practitioner - Chiropractic 8921097882 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1991
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5685 Shull Rd
Huber Heights, OH 45424-1203
Phone (937) 236-0464

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1806OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Peltier Family Chiropractic LLC Chiropractor CurrentSince Nov 1, 2003 Accepting new patients

Locations

5685 Shull Rd
Huber Heights, OH 45424
Phone (937) 236-0464

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211846400000",
    "number": "1174654404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5685 SHULL RD",
            "city": "HUBER HEIGHTS",
            "state": "OH",
            "postal_code": "454241203",
            "telephone_number": "937-236-0464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5685 SHULL RD",
            "city": "HUBER HEIGHTS",
            "state": "OH",
            "postal_code": "454241203",
            "telephone_number": "937-236-0464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELTIER",
        "first_name": "WILLIAM",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2008-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WILLIAM",
            "last_name": "PELTIER",
            "middle_name": "B",
            "credential": "D.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Huber Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; 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.