Organization Active NPI

Peters Chiropractic, P.C.

  • Chiropractor
  • Dickinson, ND
National Provider Identifier
1518028331
Registry record updated Dec 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
564 Issued in ND
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.NPI 1437485265
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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in ND

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 564 ND Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
12125OtherNDBLUE CROSS BLUE SHIELD
17920MedicaidND

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.

Verify at the official NPI Registry.