Individual provider Active NPI

Stena M Peterhans-Ritt, D.C.

  • Chiropractor
  • Bay City, MI
National Provider Identifier
1679755086
Registry record updated May 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009393 Issued in MI
Practice address
1407 S Euclid Ave
Bay City, MI 48706-3380
Phone
(989) 684-8400
Fax
(989) 684-8404
NPI assigned
Nov 28, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301009393 MI Primary

Addresses

Primary practice location

1407 S Euclid Ave
Bay City, MI 48706-3380

Mailing address

1610 S Euclid Ave
Suite 1
Bay City, MI 48706-3380
Phone (989) 684-8400

Other names 1

  • Dr. Stena Peterhans Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080303000797 MI Practitioner - Chiropractic 2466536222 Practice locations: Bay City, MI

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1308 Columbus Ave
Bay City, MI 48708-6671
Phone (989) 684-8400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301009393MIMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432080000000",
    "number": "1679755086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 S EUCLID AVE",
            "address_2": "SUITE 1",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487063380",
            "telephone_number": "989-684-8400",
            "fax_number": "989-684-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 S EUCLID AVE",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487063380",
            "telephone_number": "989-684-8400",
            "fax_number": "989-684-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERHANS-RITT",
        "first_name": "STENA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-28",
        "last_updated": "2015-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STENA",
            "last_name": "PETERHANS",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bay City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; 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.