Peterson Family Chiropractic and Wellness Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

PETERSON FAMILY CHIROPRACTIC AND WELLNESS CENTER

Practice address

1205 Hauck Dr
Rolla, MO 65401-4900

Phone

(573) 426-2225

Fax

(573) 426-2290

NPI assigned

Nov 28, 2006

Last updated

Jan 20, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Diane M Peterson, DCNPI 1508932062

Title

Cfo

Phone

(573) 426-3418

Specialties & licenses 1

Addresses

Other names 1

• Peterson Chiropractic and Acupuncture Other name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Diane M Peterson, DC

  • Chiropractor
  • Rolla, MO
  • NPI 1508932062
  NPD (past) Authorized official
• Keith A Peterson, DC

  • Chiropractor
  • Rolla, MO
  • NPI 1972679439
  NPD (past)

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295481600000",
    "number": "1336215896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 HAUCK DR",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654014900",
            "telephone_number": "573-426-2225",
            "fax_number": "573-426-2290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 HAUCK DR",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654014900",
            "telephone_number": "573-426-2225",
            "fax_number": "573-426-2290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETERSON FAMILY CHIROPRACTIC AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2011-01-20",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "573-426-3418",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peterson Chiropractic and Acupuncture",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Pcrmc-Health Services, Inc. (Phelps Health Home Health & Hospice)
• Peaceful Heart Counseling LLC
• Robert Pearson, DPM
• Jenny L Pennycook, M.D.
• Gregory Pernoud, DDS
• Diane M Peterson, DC
• Keith A Peterson, DC
• PG Optical LLC
• Phelps County Clerk (Phelps County Health Department)
• Phelps County Industrial Solutions Inc

• Chiropractor in Rolla, MO
• Providers in Rolla, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; 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.