Peter M Adams, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH5198 Issued in FL

Practice address

12276 San Jose Blvd.
Suite 512
Jacksonville, FL 32223-8618

Phone

(904) 880-0202

Fax

(904) 880-0822

NPI assigned

Dec 5, 2007

Last updated

Dec 5, 2007By 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

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.

• Life Mission Chiropractic Inc

  • Health Service Clinic/Center
  • Jacksonville, FL
  • NPI 1770754483
  Authorized official Same address or phone
• San Jose Chiropractic, LLC

  • Chiropractor
  • Jacksonville, FL
  • NPI 1396136610
  NPD (past)

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196812800000",
    "number": "1235311879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12276 SAN JOSE BLVD.",
            "address_2": "SUITE 512",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322238618",
            "telephone_number": "904-880-0202",
            "fax_number": "904-880-0822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12276 SAN JOSE BLVD.",
            "address_2": "SUITE 512",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322238618",
            "telephone_number": "904-880-0202",
            "fax_number": "904-880-0822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "PETER",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-05",
        "last_updated": "2007-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH5198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madelynn J Adams
• Maria L. Adams, DO
• Mariah C Adams
• Michael Louis Adams, MD
• Nicole Adams, CPLC
• Rachel Adams, BA
• Rebecca Adams, APRN
• Sarah Adams, LCSW, MSW, MS
• Shannon M. Adams, PA-C
• Tara L Adams, ARNP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; 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.