Peter Harold Devries Jr., DC

Primary specialty

Independent Medical Examiner ChiropractorTaxonomy code 111NI0013X

License

CH60880594 Issued in WA

Practice address

3218 R Ave Ste a
Anacortes, WA 98221-3489

Phone

(360) 299-8999

NPI assigned

Aug 6, 2018

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

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• North Sound Clinics, LLC

  • Independent Medical Examiner Chiropractor
  • Anacortes, WA
  • NPI 1124506639
  Medicare reassignment NPD Authorized official
• Jennings Chiropractic, Inc., P.S.

  • Chiropractor
  • Anacortes, WA
  • NPI 1699835132
  NPD

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

{
    "created_epoch": "1533513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533513600000",
    "number": "1255819769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3218 R AVE STE A",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982213489",
            "telephone_number": "360-299-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3218 R AVE STE A",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982213489",
            "telephone_number": "360-299-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVRIES",
        "first_name": "PETER",
        "middle_name": "HAROLD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-06",
        "last_updated": "2018-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0013X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "WA",
            "license": "CH60880594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danesha Deloatch, LMFT
• Jeanie Denton
• Nicholas Arnold Denunzio
• Derek R Damon DDS PS
• Caitlin Marie Desch, PA-C
• Alanna Dimiceli, B.T
• Christopher Thomas Dipesa, DO
• Jessica Marie Donovan, RN, IBCLC
• Mark N Donovan, MD
• David William Dormans, D.D.S., M.S.

• Independent Medical Examiner Chiropractor in Anacortes, WA
• Providers in Anacortes, WA by specialty
• Independent Medical Examiner Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2018; 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.