Erik J. Peterson Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5179 Issued in MN

Legal business name

ERIK J. PETERSON CHIROPRACTIC, LLC

Doing business as

Lakes Area Chiropractic Clinic

Practice address

12814 Lake Blvd
Lindstrom, MN 55045-9345

Phone

(651) 233-0594

NPI assigned

Feb 18, 2009

Last updated

Feb 18, 2009By 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

Dr. Erik James Peterson, D.C.NPI 1073750154

Title

Chiropractor/Owner

Phone

(651) 233-0594

Specialties & licenses 1

Addresses

Other names 1

• Lakes Area Chiropractic Clinic Doing business as

Practitioners 1

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.

• Erik James Peterson, D.C.

  • Chiropractor
  • Inver Grove Heights, MN
  • NPI 1073750154
  Authorized official Same address or phone

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

{
    "created_epoch": "1234915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234915200000",
    "number": "1346489176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 49TH ST E",
            "city": "INVER GROVE HEIGHTS",
            "state": "MN",
            "postal_code": "550761157",
            "telephone_number": "651-233-0594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12814 LAKE BLVD",
            "city": "LINDSTROM",
            "state": "MN",
            "postal_code": "550459345",
            "telephone_number": "651-233-0594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIK J. PETERSON CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-18",
        "last_updated": "2009-02-18",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "ERIK",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "651-233-0594",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakes Area Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Lindstrom, MN
• Providers in Lindstrom, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; 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.