Individual provider Active NPI

Abigail Mary Peters, DC

  • Chiropractor
  • Lakewood, CO
National Provider Identifier
1427719913
Registry record updated Jan 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHR0008480 Issued in CO
Practice address
1890 S Wadsworth Blvd
Lakewood, CO 80232-6804
Phone
(720) 458-0487
Fax
(720) 458-0981
NPI assigned
Jan 6, 2022
Last updated
Jan 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHR0008480 CO Primary

Addresses

Primary practice location

1890 S Wadsworth Blvd
Lakewood, CO 80232-6804

Mailing address

801 Englewood Pkwy Apt G207
Englewood, CO 80110-2397
Phone (412) 953-8291

Other identifiers 1

IdentifierTypeStateIssuer
CHR0008480OtherCOCHIROPRACTIC LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231018003014 PA Practitioner - Chiropractic 7618369174 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nathaniel a Reese DC PCGroup PAC ID 1153592613, 4 clinicians

Practice addresses (Care Compare)

113 Cavasina Dr
Suite 600
Canonsburg, PA 15317-1784
Phone (724) 745-1533

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHR0008480COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Nathaniel a Reese DC PC Chiropractor CurrentSince Oct 2, 2023 Accepting new patients
Elliott Chiropractic Center Chiropractor PastSince Oct 2, 2023 Accepting new patients

Locations

113 Cavasina Dr
Ste 600
Canonsburg, PA 15317
Phone (724) 745-1533

Organizations & group practices 2

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": "1641427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641427200000",
    "number": "1427719913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 ENGLEWOOD PKWY APT G207",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801102397",
            "telephone_number": "412-953-8291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 S WADSWORTH BLVD",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802326804",
            "telephone_number": "720-458-0487",
            "fax_number": "720-458-0981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "ABIGAIL",
        "middle_name": "MARY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-06",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR0008480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LICENSE",
            "identifier": "CHR0008480",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.