Pfeffer Chiropractic and Concussion Clinic PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

003011 Issued in MN

Legal business name

PFEFFER CHIROPRACTIC AND CONCUSSION CLINIC PA

Practice address

108 15TH Ave E
Alexandria, MN 56308-2510

Phone

(320) 762-1110

Fax

(320) 762-2379

NPI assigned

Oct 11, 2006

Organization subpart

No

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

Authorized official

Name

Peter PfefferNPI 1851489850

Title

President

Phone

(320) 762-1110

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 2

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

• Peter Pfeffer, DC, L. ACP

  • Chiropractor
  • Alexandria, MN
  • NPI 1851489850
  Medicare reassignment Care Compare group NPD Authorized official
• Michael Pfeffer, D.C.

  • Chiropractor
  • Alexandria, MN
  • NPI 1558459545
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560124800000",
    "number": "1447348453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 15TH AVE E",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563082510",
            "telephone_number": "320-762-1110",
            "fax_number": "320-762-2379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 15TH AVE E",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563082510",
            "telephone_number": "320-762-1110",
            "fax_number": "320-762-2379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PFEFFER CHIROPRACTIC AND CONCUSSION CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2019-06-10",
        "status": "A",
        "authorized_official_last_name": "PFEFFER",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "320-762-1110"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "003011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Hedden Peterson, LICSW
• Janeen M Peterson, RD
• Matthew Jon Peterson, MD
• Randy J Peterson, MD
• Richard W Petty, RPH
• Michael Pfeffer, D.C.
• Peter Pfeffer, DC, L. ACP
• Mary Jo Phillips, LPC
• Pima Solutions LLC
• Tamara Pitman

• Chiropractor in Alexandria, MN
• Providers in Alexandria, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.