Mark Dean Peterson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2227 Issued in WI

Practice address

5406 Alderson St
Schofield, WI 54476-2264

Phone

(715) 359-3399

NPI assigned

Jul 11, 2005

Sex

Male

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Everest Chiropractic Clinic S.C.

  • Chiropractor
  • Weston, WI
  • NPI 1407915051

  Chiropractor, WI

  Medicare reassignment NPD Authorized official

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in WI

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 13, 2010.

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278979200000",
    "number": "1477551836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5406 ALDERSON ST",
            "city": "SCHOFIELD",
            "state": "WI",
            "postal_code": "544762264",
            "telephone_number": "715-359-3399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5406 ALDERSON ST",
            "city": "SCHOFIELD",
            "state": "WI",
            "postal_code": "544762264",
            "telephone_number": "715-359-3399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "MARK",
        "middle_name": "DEAN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2010-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Osl Schofield Operating LLC
• Shawn David Paisar, H.I.S.
• Brandon David Parmer, LPN
• Peoplefirst
• Peoplefirst Rehab
• Deborah Ann Piskoty, MA, LMFT,CSAC, ICS
• Brandy Ann Poirier, RN
• Alexis Powell, BCBA
• Joey Powell
• Mary L Prange-Jones, R.PH.

• All providers in Schofield, WI
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; 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.