Nicholas A Peterson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

001777 Issued in CT

Practice address

31 Bailey Ave
Ridgefield, CT 06877-4533

Phone

(203) 438-9609

NPI assigned

Sep 5, 2008

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

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2008

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Nickalos L. Peterson, D.C.,P.C.

  dba Peterson Chiropractic

  • Chiropractor
  • Ridgefield, CT
  • NPI 1700035052
  NPD (past)

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

{
    "created_epoch": "1220572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233705600000",
    "number": "1679721427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 BAILEY AVE",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068774533",
            "telephone_number": "203-438-9609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 BAILEY AVE",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068774533",
            "telephone_number": "203-438-9609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "NICHOLAS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-05",
        "last_updated": "2009-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lana Penn
• Stacie Perachi, PT
• Lucy Peralta-Hayes, LMT
• Anabela Pereira, LPC
• Lynn Perna, RPT
• Nickalos Lee Peterson, D.C.
• James Pette, LMHC
• Narcisa Elena Pette, PMHNP-BC
• Jennifer Suzanne Phelps, M.D.
• Jacqueline Picone, CCC-SLP

• Chiropractor in Ridgefield, CT
• Providers in Ridgefield, CT by specialty
• Chiropractor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2009; 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.