Peter Dean Redmond, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC006411L Issued in PA

Practice address

255 S 17TH St FL 30
Philadelphia, PA 19103-6207

Phone

(215) 735-5911

NPI assigned

Aug 28, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Eastern Pennsylvania Orthopedic Associates

  • Chiropractor
  • Philadelphia, PA
  • NPI 1477600864
  NPD (past)

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188259200000",
    "number": "1386838902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1237",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193410940",
            "telephone_number": "610-524-2171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 S 17TH ST FL 30",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191036207",
            "telephone_number": "215-735-5911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDMOND",
        "first_name": "PETER",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-28",
        "last_updated": "2007-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC006411L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "DC006411",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rediscover Therapy LLC
• Gretchen Redline, PHARMD
• Jacqueline M Redman, CRNP
• Laura L Redmond, PHARMD
• Lya P Redmond, M.A.
• Ronald Philip Rednor, M.D.
• Adriel Salgado Redondo, PHARMD
• Donald Thomas Noah Redstone-Brophy, RN
• Jamie Vincenti Redwing, M.D.
• Redwood Beauty & Wellness

• Chiropractor in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.

Verify at the official NPI Registry.