Peterson Chiropractic and Wellness LLC

Primary specialty

Neurology ChiropractorTaxonomy code 111NN0400X

Legal business name

PETERSON CHIROPRACTIC AND WELLNESS LLC

Practice address

208 Commercial St
Stromsburg, NE 68666-3024

Phone

(402) 764-4212

NPI assigned

Feb 11, 2022

Last updated

Feb 15, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Connor Peterson, DCNPI 1992319545

Title

Owner

Phone

(402) 764-4212

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Connor Neal Peterson, DC

  • Neurology Chiropractor
  • Stromsburg, NE
  • NPI 1992319545
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1644537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644883200000",
    "number": "1447904099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306",
            "city": "STROMSBURG",
            "state": "NE",
            "postal_code": "686660306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 COMMERCIAL ST",
            "city": "STROMSBURG",
            "state": "NE",
            "postal_code": "686663024",
            "telephone_number": "402-764-4212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETERSON CHIROPRACTIC AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-11",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "CONNOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-764-4212",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Lawrence Kappers, PLMHP
• Celeste McCoy
• Midwest Covenant Home, Inc.
• Midwest Covenant Home, Inc.
• Hyde Patience, M.S. ED., CCC-SLP
• Connor Neal Peterson, DC
• Prairie Creek Family Medicine LLC
• Tanya Michelle Randolph-Elgin, PSY.D.
• Refuge Counseling
• Katherine Rystrom, FNP

• Neurology Chiropractor in Stromsburg, NE
• Providers in Stromsburg, NE by specialty
• Neurology Chiropractor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; 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.