Active NPI
Peters Chiropractic, P.C.
- Chiropractor
- Dickinson, ND
National Provider Identifier
1518028331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 564
- Legal business name
- PETERS CHIROPRACTIC, P.C.
- Practice address
- 562 12TH St W
Dickinson, ND 58601-3509 - Phone
- (701) 483-1104
- NPI assigned
- Dec 13, 2006
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Dr. Cassandra Steffes, D.C.
- Title
- Doctor
- Phone
- (701) 483-1104
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Dickinson, ND
- NPI 1437485265
-
- Chiropractor
- Dickinson, ND
- NPI 1033661509
-
- Chiropractor
- Dickinson, ND
- NPI 1124137955
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080319000059 | ND | Part B Supplier - Clinic/Group Practice | 8325124209 |
Receives reassigned benefits from 3 practitioners Practice locations: Dickinson, ND |
National Provider Directory
Locations
562 12th St W
Dickinson, ND 58601
Phone (701) 483-1104
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 564 | ND | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
562 12TH St W
Dickinson, ND 58601-3509
Mailing address
562 12TH St W
Dickinson, ND 58601-3509
Phone (701) 483-1104
Other identifiers 2
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12125 | Other | ND | BLUE CROSS BLUE SHIELD |
| 17920 | Medicaid | ND |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 30, 2016.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1483056000000",
"number": "1518028331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "562 12TH ST W",
"city": "DICKINSON",
"state": "ND",
"postal_code": "586013509",
"telephone_number": "701-483-1104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "562 12TH ST W",
"city": "DICKINSON",
"state": "ND",
"postal_code": "586013509",
"telephone_number": "701-483-1104"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PETERS CHIROPRACTIC, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-13",
"last_updated": "2016-12-30",
"status": "A",
"authorized_official_last_name": "STEFFES",
"authorized_official_first_name": "CASSANDRA",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "701-483-1104",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "ND",
"license": "564",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "12125",
"state": "ND"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "17920",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dickinson, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2016; 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.