Gerald Kent Peters, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0103787 Issued in KS

Practice address

8404 W 13TH St N
Suite 150
Wichita, KS 67212-2978

Phone

(316) 943-7352

Fax

(316) 946-5991

NPI assigned

Jun 16, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Peters Chiropractic Clinic PA

  • Chiropractor
  • Wichita, KS
  • NPI 1780735779
  Authorized official Same address or phone

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447255518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8404 W 13TH ST N",
            "address_2": "SUITE 150",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672122978",
            "telephone_number": "316-943-7352",
            "fax_number": "316-946-5991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8404 W 13TH ST N",
            "address_2": "SUITE 150",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672122978",
            "telephone_number": "316-943-7352",
            "fax_number": "316-946-5991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "GERALD",
        "middle_name": "KENT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "0103787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerry D Peterie, MD
• Jennifer M Peterman, DDS
• Peters Chiropractic Clinic PA
• Elizabeth Peters
• Erin A. Peters, MPT
• Ieshia A Peters
• Thomas J Peters, MD
• Maryann Marie Petersen, LMFT
• April J Peterson, PA
• Bailey Peterson

• Chiropractor in Wichita, KS
• Providers in Wichita, KS by specialty
• Chiropractor in Kansas

• 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.

Verify at the official NPI Registry.