James Edward Peterson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC 12789 Issued in CA

Practice address

2615 S Miller St
Suite 108
Santa Maria, CA 93455-1775

Phone

(805) 938-7480

Fax

(805) 938-7492

NPI assigned

Sep 5, 2006

Last updated

Apr 19, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Douglas S. Wilson Chiropractic Corporation

  • Chiropractor
  • Santa Maria, CA
  • NPI 1770904799
  NPD (past)

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461024000000",
    "number": "1235232505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 S MILLER ST",
            "address_2": "SUITE 108",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934551775",
            "telephone_number": "805-938-7480",
            "fax_number": "805-938-7492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 S MILLER ST",
            "address_2": "SUITE 108",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934551775",
            "telephone_number": "805-938-7480",
            "fax_number": "805-938-7492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "JAMES",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2016-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 12789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Renee Perry, AUD
• Peter a. Statti MD Inc.
• Peter Alan Krause Medical Corporation
• Roneaka Ann Peters, SUDRC #21780
• Grace Ann Peterson, M.ED
• Levi Peterson
• Linda Lou Peterson, IMF
• John C Petitt, M.D
• Carol Petrini, RN, PHN
• Allison Pfeifer

• Chiropractor in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; 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.