Individual provider Active NPI

Eric Kees Peet, DC

  • Neurology Chiropractor
  • Saugatuck, MI
National Provider Identifier
1598898348
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
EP006039 Issued in MI
Practice address
3413 Elizabeth St
Saugatuck, MI 49453-9736
Phone
(269) 857-5105
Fax
(269) 857-5213
NPI assigned
Mar 13, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Chiropractor 111NN0400X EP006039 MI Primary

Addresses

Primary practice location

3413 Elizabeth St
Saugatuck, MI 49453-9736

Mailing address

P O Box 489
3413 Elizabeth St
Saugatuck, MI 49453
Phone (269) 857-5105

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120906000238 MI Practitioner - Chiropractic 0143477612 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1992
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3413 Elizabeth St
Saugatuck, MI 49453-9736
Phone (269) 857-5105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
EP006039MIMDNeurology Chiropractor

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598898348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 489",
            "address_2": "3413 ELIZABETH ST",
            "city": "SAUGATUCK",
            "state": "MI",
            "postal_code": "49453",
            "telephone_number": "269-857-5105",
            "fax_number": "269-857-5213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3413 ELIZABETH ST",
            "city": "SAUGATUCK",
            "state": "MI",
            "postal_code": "494539736",
            "telephone_number": "269-857-5105",
            "fax_number": "269-857-5213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEET",
        "first_name": "ERIC",
        "middle_name": "KEES",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "MI",
            "license": "EP006039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saugatuck, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.