NPIMap

Organization Active NPI

Jonathan J. Peterson, PLLC

  • Chiropractor
  • Gilbert, AZ
National Provider Identifier
1528313269
Registry record updated Jul 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7814 Issued in AZ
Legal business name
JONATHAN J. PETERSON, PLLC
Practice address
3076 E. Chandler Heights Rd.
Suite 107
Gilbert, AZ 85298
Phone
(480) 840-3663
NPI assigned
Jul 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2012

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

Authorized official

Name
Jonathan Peterson, D.C.NPI 1013129857
Title
President
Phone
(480) 208-3835

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 7814 AZ Primary

Addresses

Primary practice location

3076 E. Chandler Heights Rd.
Suite 107
Gilbert, AZ 85298

Mailing address

455 E. Saddle Way
San Tan Valley, AZ 85143
Phone (480) 208-3835

National Provider Directory

National Provider Directory

Locations

3076 E Chandler Heights Rd
Ste 107
Gilbert, AZ 85298
Phone (480) 208-3835

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342569600000",
    "number": "1528313269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 E. SADDLE WAY",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "85143",
            "telephone_number": "480-208-3835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3076 E. CHANDLER HEIGHTS RD.",
            "address_2": "SUITE 107",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "85298",
            "telephone_number": "480-840-3663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN J. PETERSON, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-18",
        "last_updated": "2012-07-18",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-208-3835",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.