David Clifford Peters, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

006557 Issued in MO

Practice address

125 S Broadview St Ste 14
Cape Girardeau, MO 63703-5744

Phone

(573) 335-7011

Fax

(573) 339-5760

NPI assigned

Aug 15, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cape Family Medical Clinic, LLCGroup PAC ID 4183885403, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Cape Family Medical Clinic, LLC

  • Rural Health Clinic/Center
  • Cape Girardeau, MO
  • NPI 1720359243
  Medicare reassignment Care Compare group NPD
• Cape Family Medical Clinic, LLC

  • Clinic/Center
  • Perryville, MO
  • NPI 1427771922
  NPD
• Back to Health PC

  • Chiropractor
  • Excelsior Springs, MO
  • NPI 1275566077
  NPD (past)
• Cape Family Medical Clinic, LLC

  • Family Medicine Physician
  • Cape Girardeau, MO
  • NPI 1649713504
  NPD (past)
• Ali Back & Body Inc

  • Chiropractor
  • San Antonio, TX
  • NPI 1558682153
  NPD (past)

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453248000000",
    "number": "1528071842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 S BROADVIEW ST STE 14",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637035744",
            "telephone_number": "573-335-7011",
            "fax_number": "573-339-5760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 S BROADVIEW ST STE 14",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637035744",
            "telephone_number": "573-335-7011",
            "fax_number": "573-339-5760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "DAVID",
        "middle_name": "CLIFFORD",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2016-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "006557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Elvie Perry, M.D.
• Personal Solutions, LLC
• Peters Chiropractic PC
• Beverly Peters, DC
• Brandon M Peters, PTA
• Kimberly Peters, MSN/AGNP
• Leeanna Peters, MSN, APRN, NP-C
• William Zachary Petry, MD
• Lori Gay Pettet
• Jody Petzoldt, M.A.

• Chiropractor in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; 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.