Active NPI
David Alan Peterson, D.C.
- Chiropractor
- Redding, CA
National Provider Identifier
1689669228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 22121
- Practice address
- 1143 Hilltop Dr.
Redding, CA 96003 - Phone
- (530) 224-1752
- Fax
- (530) 224-1753
- NPI assigned
- Sep 20, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 22121 | CA | Primary |
Addresses
Primary practice location
1143 Hilltop Dr.
Redding, CA 96003
Mailing address
1143 Hilltop Dr.
Redding, CA 96003
Phone (530) 224-1752
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101019000824 | CA | Practitioner - Chiropractic | 9638362916 | Practice locations: Redding, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Los Angeles College of Chiropractic, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1143 Hilltop Dr
Redding, CA 96003-3814
Phone (530) 224-1752
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280448000000",
"number": "1689669228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1143 HILLTOP DR.",
"city": "REDDING",
"state": "CA",
"postal_code": "96003",
"telephone_number": "530-224-1752",
"fax_number": "530-224-1753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1143 HILLTOP DR.",
"city": "REDDING",
"state": "CA",
"postal_code": "96003",
"telephone_number": "530-224-1752",
"fax_number": "530-224-1753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "DAVID",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-20",
"last_updated": "2010-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "22121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2010; 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.