Organization Active NPI

Peer Chiropractic Inc.

  • Sports Physician Chiropractor
  • Albuquerque, NM
National Provider Identifier
1255485082
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
1499 Issued in NM
Legal business name
PEER CHIROPRACTIC INC.
Practice address
7520 Montgomery Blvd NE
Suite D-10
Albuquerque, NM 87109-1521
Phone
(505) 888-9616
Fax
(505) 888-8836
NPI assigned
Jan 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. David William Peer, DC, CCSP
Title
President
Phone
(505) 888-9616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X 1499 NM Primary

Addresses

Primary practice location

7520 Montgomery Blvd NE
Suite D-10
Albuquerque, NM 87109-1521

Mailing address

7520 Montgomery Blvd NE
Suite D-10
Albuquerque, NM 87109-1521
Phone (505) 888-9616

Other identifiers 2

IdentifierTypeStateIssuer
663482OtherNMUNITED HEALTH CARE ID
NM01KJ13OtherNMBLUE CROSS BLUE SHIELD ID

National Provider Directory

National Provider Directory

Locations

7520 Montgomery Blvd NE
Bldg D10
Albuquerque, NM 87109
Phone (505) 883-5192

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255485082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7520 MONTGOMERY BLVD NE",
            "address_2": "SUITE D-10",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091521",
            "telephone_number": "505-888-9616",
            "fax_number": "808-888-8836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7520 MONTGOMERY BLVD NE",
            "address_2": "SUITE D-10",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091521",
            "telephone_number": "505-888-9616",
            "fax_number": "505-888-8836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEER CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PEER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-888-9616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, CCSP"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "NM",
            "license": "1499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE ID",
            "identifier": "663482",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD ID",
            "identifier": "NM01KJ13",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.