Nicholaus Petterson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

14730 Issued in TX

Practice address

1007 W Mitchell St
Arlington, TX 76013-2508

Phone

(817) 460-9000

NPI assigned

May 6, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Comprehensive Injury Treatment Services PLLCGroup PAC ID 6406086032, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Comprehensive Injury Treatment Services PLLC

  dba Anthony Medical and Wellness Center

  • General Practice Physician
  • Temple, TX
  • NPI 1811325954
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1620259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1669056628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 W MITCHELL ST",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760132508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 W MITCHELL ST",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760132508",
            "telephone_number": "817-460-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTERSON",
        "first_name": "NICHOLAUS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-06",
        "last_updated": "2021-05-06",
        "certification_date": "2021-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "14730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise K Peterson, NP
• Essence Peterson
• Jill Peterson, DDS, MPH, PHD
• Nikita Marie Peterson
• Alice D Petranek, OTR/L
• John B Pettway, M.D.
• Derek Andrew Petty, DDS
• Darrius Montre Peyton, COTA/L
• Reece Pfannenstiel, MD
• PH Ops of Arlington LLC (Pure Health Transitional Care at THR Arlington)

• Chiropractor in Arlington, TX
• Providers in Arlington, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; 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.