Organization Active NPI

Richard L. Peterson Chiropractic

  • Chiropractor
  • Salem, OR
National Provider Identifier
1649511403
Registry record updated Mar 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1346 Issued in OR
Legal business name
RICHARD L. PETERSON CHIROPRACTIC
Practice address
2185 Liberty St NE
Salem, OR 97301-8353
Phone
(503) 371-4055
Fax
(503) 371-4885
NPI assigned
Mar 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2013

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

Authorized official

Name
Dr. Richard L Peterson, DCNPI 1639104987
Title
Doctor
Phone
(503) 371-4055

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1346 OR Primary

Addresses

Primary practice location

2185 Liberty St NE
Salem, OR 97301-8353

Mailing address

2185 Liberty St NE
Salem, OR 97301-8353
Phone (503) 371-4055

National Provider Directory

National Provider Directory
Tax ID family
Peterson Chiropractic Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1362355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362355200000",
    "number": "1649511403",
    "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": {
        "organization_name": "RICHARD L. PETERSON CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-04",
        "last_updated": "2013-03-04",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "503-371-4055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "1346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2013; 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.