Richard L Peterson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

27 1346 Issued in OR

Practice address

2185 Liberty St NE
Salem, OR 97301-8353

Phone

(503) 371-4055

Fax

(503) 371-4885

NPI assigned

Jul 12, 2006

Last updated

Oct 18, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Richard L. Peterson Chiropractic

  • Chiropractor
  • Salem, OR
  • NPI 1649511403
  NPD (past) Authorized official
• Peterson Chiropractic Clinic

  • Chiropractor
  • Salem, OR
  • NPI 1538402169
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318896000000",
    "number": "1639104987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2185 LIBERTY ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973018353",
            "telephone_number": "503-371-4055",
            "fax_number": "503-371-4885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2185 LIBERTY ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973018353",
            "telephone_number": "503-371-4055",
            "fax_number": "503-371-4885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "RICHARD",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2011-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "27 1346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "R0000QGBLR",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jodi Leann Peterson, RN
• Mark Steven Peterson, MD
• Maudie Alice Peterson, MS,LPC
• McKenzie Peterson
• Patricia E Peterson, M.D.
• Shane Ember Peterson, M.D.
• Timothy Terrence Peterson, PHARMD
• Trudeen Peterson, RN
• Kimberly Ann Petesky, LMT
• Charles G Petrunin II, M.D.

• Chiropractor in Salem, OR
• Providers in Salem, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2011; 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.