Active NPI
Peters Wellness Chiropractic Inc
- Nutrition Chiropractor
- Goodyear, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Chiropractor
- License
- 7767
- Legal business name
- PETERS WELLNESS CHIROPRACTIC INC
- Practice address
- 1616 N Litchfield Rd
Suite 210
Goodyear, AZ 85338-1252 - Phone
- (623) 935-0911
- Fax
- (623) 935-0921
- NPI assigned
- Nov 10, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Troy Henry Peters, D.C.
- Title
- Ceo
- Phone
- (623) 935-0911
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | 7767 | AZ | Primary |
| Nutrition Chiropractor | 111NN1001X | DC-29747 | CA |
Addresses
Primary practice location
1616 N Litchfield Rd
Suite 210
Goodyear, AZ 85338-1252
Mailing address
1616 N Litchfield Rd
Suite 210
Goodyear, AZ 85338-1252
Phone (623) 935-0911
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1616 N Litchfield Rd
Ste 210
Goodyear, AZ 85395
Phone (623) 935-0911
1616 N Litchfield Rd
Ste 100
Goodyear, AZ 85395
Phone (623) 935-0911
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163116800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1629149968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1616 N LITCHFIELD RD",
"address_2": "SUITE 210",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853381252",
"telephone_number": "623-935-0911",
"fax_number": "623-935-0921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1616 N LITCHFIELD RD",
"address_2": "SUITE 210",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853381252",
"telephone_number": "623-935-0911",
"fax_number": "623-935-0921"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PETERS WELLNESS CHIROPRACTIC INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-10",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PETERS",
"authorized_official_first_name": "TROY",
"authorized_official_middle_name": "HENRY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "623-935-0911",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Nutrition",
"state": "AZ",
"license": "7767",
"primary": true
},
{
"code": "111NN1001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Nutrition",
"state": "CA",
"license": "DC-29747",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Goodyear, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.