Organization Active NPI

Peters Oak Tree Chiropractic, Inc.

  • Medical Specialty Clinic/Center
  • Campbell, CA
National Provider Identifier
1497012397
Registry record updated Apr 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
DC29745 Issued in CA
Legal business name
PETERS OAK TREE CHIROPRACTIC, INC.
Practice address
3491 S Bascom Ave
Campbell, CA 95008-7309
Phone
(408) 369-9198
Fax
(408) 369-0367
NPI assigned
Apr 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2012

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

Authorized official

Name
Dr. Steven Mikel Peters, D.C.
Title
Chiropractor/President
Phone
(408) 369-9198

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X DC29745 CA Primary

Addresses

Primary practice location

3491 S Bascom Ave
Campbell, CA 95008-7309

Mailing address

3491 S Bascom Ave
Campbell, CA 95008-7309
Phone (408) 369-9198

National Provider Directory

National Provider Directory

Locations

3491 S Bascom Ave
Campbell, CA 95008
Phone (408) 369-0367

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1334534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334534400000",
    "number": "1497012397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3491 S BASCOM AVE",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950087309",
            "telephone_number": "408-369-9198",
            "fax_number": "408-369-0367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3491 S BASCOM AVE",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950087309",
            "telephone_number": "408-369-9198",
            "fax_number": "408-369-0367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETERS OAK TREE CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-16",
        "last_updated": "2012-04-16",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "MIKEL",
        "authorized_official_title_or_position": "CHIROPRACTOR/PRESIDENT",
        "authorized_official_telephone_number": "408-369-9198",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "DC29745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbell, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2012; 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.