Grant Douglas Peters, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

B01907 Issued in NV

Practice address

715 Mall Ring Cir Ste 100
Henderson, NV 89014-6666

Phone

(702) 990-2225

NPI assigned

Nov 29, 2021

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1638144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1326706185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2312 N GREEN VALLEY PKWY APT 2823",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890143118",
            "telephone_number": "503-875-1573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 MALL RING CIR STE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890146666",
            "telephone_number": "702-990-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "GRANT",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-29",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B01907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Perry
• Melissa Anne Perry
• Hanna Michelle Persin
• Peter W. Debry M.D. Dba NV Eye Surgery
• Denise Peters-Brown
• Thomas Peters, MD
• Paige Petersen
• Peterson Dental Group, PC
• Emily K Peterson, DO
• Jenna Beverly Peterson

• Chiropractor in Henderson, NV
• Providers in Henderson, NV by specialty
• Chiropractor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; 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.