Kristopher B Peterson, DC PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1525 Issued in OR

Legal business name

KRISTOPHER B PETERSON, DC PC

Doing business as

Peterson Clinic

Practice address

1002 W Elm Ave
Hermiston, OR 97838-2711

Phone

(541) 567-6277

Fax

(541) 567-9055

NPI assigned

Mar 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kristopher B Peteson, DC

Title

President

Phone

(541) 567-6277

Specialties & licenses 1

Addresses

Other names 1

• Peterson Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristopher Bryan Peterson, D.C.

  • Internist Chiropractor
  • Hermiston, OR
  • NPI 1790810844
  Medicare reassignment Care Compare group
• Trent Jacob Teegarden, D.C.

  • Chiropractor
  • Lehi, UT
  • NPI 1396069225

  OR

  Medicare reassignment Care Compare group
• Anton Lynn Alder, ND

  • Naturopath
  • Hermiston, OR
  • NPI 1073010880
  NPD (past)

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437273497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 W ELM AVE",
            "address_2": "PO BOX 211",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978382711",
            "telephone_number": "541-567-6277",
            "fax_number": "541-567-9055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 W ELM AVE",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978382711",
            "telephone_number": "541-567-6277",
            "fax_number": "541-567-9055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTOPHER B PETERSON, DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PETESON",
        "authorized_official_first_name": "KRISTOPHER",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-567-6277",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "1525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peterson Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marylin Kay Kirkham, M.S.
• Paul Kirse, RPH
• Genessa Knowles, M.S. CCC-SLP
• Elwood Ray Koenig, WOODY KOENIG LCSW
• Joyce Michelle Koh, M.D.
• Mykah Dean Krumwiede, CADC-R
• Sandeep Kunwar, MD
• Kyle J. Duncan, DPM, LLC
• Mary Kyle
• Jeffrey Christopher La Rochelle, M.D.

• Chiropractor in Hermiston, OR
• Providers in Hermiston, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.