Michaela A Peterson, DC, FACO

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CT0469 Issued in CT

Practice address

650 Main St
Branford, CT 06405-3613

Phone

(203) 481-6150

Fax

(203) 481-0411

NPI assigned

Jan 25, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• Dr. Michaela Peterson Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Dziura Chiropractic PC

  • Orthopedic Chiropractor
  • Branford, CT
  • NPI 1962520296
  NPD (past)

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262822400000",
    "number": "1376513069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 WOODVALE RD",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064053927",
            "telephone_number": "203-481-0510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 MAIN ST",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064053613",
            "telephone_number": "203-481-6150",
            "fax_number": "203-481-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "MICHAELA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DC, FACO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-25",
        "last_updated": "2010-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "CT0469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "OV4757",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "050000469CT01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD/TRIAD",
            "identifier": "NHS019",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350052269",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CTCARE",
            "identifier": "046900",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LANDMARK",
            "identifier": "CT00469",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAELA",
            "last_name": "PETERSON",
            "prefix": "DR.",
            "credential": "DC, FACO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jamie Leigh Perillo, LPC
• Kara Perno, LCSW
• Elizabeth R Perrone-Gray, APRN, CPNP, MSN
• Mark Anthony Perrotti, MD
• Enid Helene Peterson, LCSW
• Logan M Petit, MD
• Roseanna Petonito
• Alex Petri, LMFT
• Tierra Phillips
• Physical Fitness, LLC

• Chiropractor in Branford, CT
• Providers in Branford, CT by specialty
• Chiropractor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2010; 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.