Individual provider Active NPI

Peter Z Previte, D.C.

  • Chiropractor
  • Rome, NY
National Provider Identifier
1366450439
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X009099 Issued in NY
Practice address
203 W Thomas St
Rome, NY 13440-5007
Phone
(315) 337-0300
Fax
(315) 337-1601
NPI assigned
Aug 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X009099 NY Primary

Addresses

Primary practice location

203 W Thomas St
Rome, NY 13440-5007

Mailing address

203 W Thomas St
Rome, NY 13440-5007
Phone (315) 337-0300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070111000447 NY Practitioner - Chiropractic 7012917271 Practice locations: Rome, NY

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

734 Erie Blvd W
Rome, NY 13440-3946
Phone (315) 571-7009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X009099NYMDChiropractor
009099NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ronald D Moore DC Chiropractor Past Accepting new patients
Witchley Chiropractic and Acupuncture P.C. Chiropractor PastSince Jan 1, 2012 Accepting new patients
Dr. Peter Z. Previte, D.C. Chiropractor PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366450439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 W THOMAS ST",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134405007",
            "telephone_number": "315-337-0300",
            "fax_number": "315-337-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 W THOMAS ST",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134405007",
            "telephone_number": "315-337-0300",
            "fax_number": "315-337-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREVITE",
        "first_name": "PETER",
        "middle_name": "Z",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X009099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.