William Winston Leonard Peterson III, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH 10821 Issued in FL

Practice address

1700 SE Hillmoor Dr
Ste 502
Port St Lucie, FL 34952-7566

Phone

(772) 333-2648

NPI assigned

Feb 13, 2013

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 names 1

• Dr. William W.L. Peterson III Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1360713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555632000000",
    "number": "1285973107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 SE HILLMOOR DR",
            "address_2": "STE 502",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527566",
            "telephone_number": "772-783-3472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 SE HILLMOOR DR",
            "address_2": "STE 502",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527566",
            "telephone_number": "772-333-2648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "WILLIAM",
        "middle_name": "WINSTON LEONARD",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-13",
        "last_updated": "2019-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 10821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WILLIAM",
            "last_name": "PETERSON",
            "middle_name": "W.L.",
            "prefix": "DR.",
            "suffix": "III",
            "credential": "D.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Joseph Perretta, C.P.
• Stacey Laurein Peterkin, BT
• Christine Peterson
• Ganielle Marva Peterson, ASSISTED LIVING ADMN
• Samantha Michelle Peterson, A.R.N.P.
• Rosemita Petion
• Julienne Petit Frere
• Dawn M Petrie, BCABA
• Matthew W Petrovic, D.C.
• Christopher Lawrence Petterson, D.D.S.

• Chiropractor in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2019; 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.