Individual provider Active NPI

Christopher J Peterson, MD

  • Pediatrics Physician
  • Londonderry, NH
National Provider Identifier
1528031135
Registry record updated Sep 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
9844 Issued in NH
Practice address
25 Buttrick Rd
BLDG. E
Londonderry, NH 03053-3352
Phone
(603) 437-1003
Fax
(603) 421-0868
NPI assigned
Feb 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 9844 NH Primary

Addresses

Primary practice location

25 Buttrick Rd
BLDG. E
Londonderry, NH 03053-3352

Mailing address

25 Buttrick Rd
BLDG. E
Londonderry, NH 03053-3352
Phone (603) 437-1003

Other identifiers 1

IdentifierTypeStateIssuer
30010353MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9844NHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Londonderry Pediatrics, PA Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cpeterson947@direct.solutionhealth.org
  • Direct secure messaging: christopher.peterson@lpp.eclinicaldirectplus.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285113600000",
    "number": "1528031135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 BUTTRICK RD",
            "address_2": "BLDG. E",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030533352",
            "telephone_number": "603-437-1003",
            "fax_number": "603-421-0868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 BUTTRICK RD",
            "address_2": "BLDG. E",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030533352",
            "telephone_number": "603-437-1003",
            "fax_number": "603-421-0868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "CHRISTOPHER",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2010-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NH",
            "license": "9844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30010353",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Londonderry, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; 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.