Luke Henry Peterson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

11931 Issued in FL

Practice address

213 S Swoope Ave
Maitland, FL 32751-5717

Phone

(321) 972-3146

NPI assigned

Dec 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: luke.peterson@cccl.eclinicaldirectplus.com

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1184789497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 S SWOOPE AVE",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327515717",
            "telephone_number": "321-972-3146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 S SWOOPE AVE",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327515717",
            "telephone_number": "321-972-3146"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Lake Baldwin Ln",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328146669",
            "country_code": "US",
            "telephone_number": "407-895-6161",
            "fax_number": "407-895-6464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "LUKE",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "11931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSFL",
            "identifier": "70016",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Personic Healthcare LLC
• Angella Marcia Peters
• Debra Peters, M.A
• Germaine Peters, CAA
• Kaile Terin Peters
• Quynh Nhu Pham, OD
• Thu Pham, OD
• Anthony Phan
• Pharmacist Choice Inc.
• Pharmacy Investment Coordinators, Inc (Maitland Rexall Drugs)

• Chiropractor in Maitland, FL
• Providers in Maitland, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.