Active NPI
Gregory Wayne Peterson, DC
- Chiropractor
- Winona, MN
National Provider Identifier
1598705667
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(14) exclusion effective Jun 20, 2011.
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3067
- Practice address
- 902 E 2ND St
Ste 327
Winona, MN 55987-6354 - Phone
- (507) 452-6640
- NPI assigned
- Jun 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3067 | MN | Primary |
Addresses
Primary practice location
902 E 2ND St
Ste 327
Winona, MN 55987-6354
Mailing address
902 E 2ND St
Ste 327
Winona, MN 55987-6354
Phone (507) 452-6640
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Natural Medicine PA | Past | Accepting new patients | |
| Center for Natural Medicine PA | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinic/Center
- Winona, MN
- NPI 1689602401
-
- Clinic/Center
- Eden Prairie, MN
- NPI 1982630505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1598705667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "902 E 2ND ST",
"address_2": "STE 327",
"city": "WINONA",
"state": "MN",
"postal_code": "559876354",
"telephone_number": "507-452-6640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "902 E 2ND ST",
"address_2": "STE 327",
"city": "WINONA",
"state": "MN",
"postal_code": "559876354",
"telephone_number": "507-452-6640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "GREGORY",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "3067",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winona, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.