Active NPI
Peter J Dukehart, D.C,
- Chiropractor
- Norwich, CT
National Provider Identifier
1386768422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 299
- Practice address
- 238 W Town St
Yantic River Plaza
Norwich, CT 06360-2111 - Phone
- (860) 887-3358
- Fax
- (860) 887-8328
- NPI assigned
- Mar 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 299 | CT | Primary |
Addresses
Primary practice location
238 W Town St
Yantic River Plaza
Norwich, CT 06360-2111
Mailing address
238 W Town St
Yantic River Plaza
Norwich, CT 06360-2111
Phone (860) 887-3358
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 299 | CT | MD | Naturopath |
| 000299 | CT | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386768422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "238 W TOWN ST",
"address_2": "YANTIC RIVER PLAZA",
"city": "NORWICH",
"state": "CT",
"postal_code": "063602111",
"telephone_number": "860-887-3358",
"fax_number": "860-887-8328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "238 W TOWN ST",
"address_2": "YANTIC RIVER PLAZA",
"city": "NORWICH",
"state": "CT",
"postal_code": "063602111",
"telephone_number": "860-887-3358",
"fax_number": "860-887-8328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUKEHART",
"first_name": "PETER",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "D.C,",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CT",
"license": "299",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norwich, CT
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.