100 Chiro Peterson Four, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

100 CHIRO PETERSON FOUR, LLC

Practice address

1925 N Central Expy Ste 400
McKinney, TX 75070-3682

Phone

(719) 251-7708

NPI assigned

Dec 28, 2021

Last updated

Dec 28, 2021By 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 Michael Peterson

Title

Owner

Phone

(719) 251-7708

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

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.

• Michael Peterson, D.C.

  • Chiropractor
  • Fairview, TX
  • NPI 1811358997
  Medicare reassignment

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

{
    "created_epoch": "1640649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640649600000",
    "number": "1386304632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 N CENTRAL EXPY STE 400",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750703682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 N CENTRAL EXPY STE 400",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750703682",
            "telephone_number": "719-251-7708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "100 CHIRO PETERSON FOUR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-28",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "DR MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-251-7708"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in McKinney, TX
• Providers in McKinney, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.