Active NPI
Christopher S Peters, D.C.
- Chiropractor
- Bowling Green, OH
National Provider Identifier
1609935964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3551
- Practice address
- 640 S Wintergarden Rd
Bowling Green, OH 43402-3544 - Phone
- (419) 353-6394
- Fax
- (419) 354-8341
- NPI assigned
- Dec 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 3551 | OH | Primary |
Addresses
Primary practice location
640 S Wintergarden Rd
Bowling Green, OH 43402-3544
Mailing address
25197 Fox Hunt Dr
Perrysburg, OH 43551-6792
Phone (419) 344-5550
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000378878 | Other | OH | ANTHEM |
| 7601711 | Other | OH | AETNA |
| 2514907 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
390 Independence Dr
Napoleon, OH 43545-9194
Phone (419) 592-7966
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3551 | OH | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frey Clinic of Chiropractic Inc | Chiropractor | Current | Accepting new patients |
Locations
390 Independence Dr
Napoleon, OH 43545
Phone (419) 591-6292
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.
-
- Chiropractor
- Napoleon, OH
- NPI 1689740409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404086400000",
"number": "1609935964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25197 FOX HUNT DR",
"city": "PERRYSBURG",
"state": "OH",
"postal_code": "435516792",
"telephone_number": "419-344-5550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 S WINTERGARDEN RD",
"city": "BOWLING GREEN",
"state": "OH",
"postal_code": "434023544",
"telephone_number": "419-353-6394",
"fax_number": "419-354-8341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERS",
"first_name": "CHRISTOPHER",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-06",
"last_updated": "2014-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "3551",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000378878",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7601711",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2514907",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bowling Green, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2014; 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.