Individual provider Active NPI

David William Peer, DC,CCSP

  • Sports Physician Chiropractor
  • Albuquerque, NM
National Provider Identifier
1427099381
Registry record updated Nov 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
1499 Issued in NM
Practice address
10555 Montgomery Blvd NE
BLDG 1 Ste 30
Albuquerque, NM 87111-3857
Phone
(505) 299-6622
Fax
(505) 323-4419
NPI assigned
Jun 9, 2006
Last updated
Nov 15, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 1499 NM Primary

Addresses

Primary practice location

10555 Montgomery Blvd NE
BLDG 1 Ste 30
Albuquerque, NM 87111-3857

Mailing address

10555 Montgomery Blvd NE
BLDG 1 Ste 30
Albuquerque, NM 87111-3857
Phone (505) 299-6622

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

Practice roles

OrganizationSpecialtyStatusNew patients
Heights Chiropractic & Sports Medicine Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321315200000",
    "number": "1427099381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10555 MONTGOMERY BLVD NE",
            "address_2": "BLDG 1 STE 30",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113857",
            "telephone_number": "505-299-6622",
            "fax_number": "505-323-4419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10555 MONTGOMERY BLVD NE",
            "address_2": "BLDG 1 STE 30",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113857",
            "telephone_number": "505-299-6622",
            "fax_number": "505-323-4419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEER",
        "first_name": "DAVID",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DC,CCSP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2011-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NM",
            "license": "1499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; 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.