Organization Active NPI

Laura Peterson Chiropractic, Inc.

  • Chiropractor
  • Folsom, CA
National Provider Identifier
1689849531
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 26119 Issued in CA
Legal business name
LAURA PETERSON CHIROPRACTIC, INC.
Practice address
24988 Blue Ravine Rd
Suite 106
Folsom, CA 95630-5284
Phone
(916) 355-0440
Fax
(916) 355-0441
NPI assigned
Apr 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Authorized official

Name
Dr. Laura Lynn Peterson, D.C.NPI 1043245350
Title
Owner/Chiropractor
Phone
(916) 355-0440

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 DC 26119 CA Primary

Addresses

Primary practice location

24988 Blue Ravine Rd
Suite 106
Folsom, CA 95630-5284

Mailing address

24988 Blue Ravine Rd
Suite 106
Folsom, CA 95630-5284
Phone (916) 355-0440

Other names 1

  • Family Health Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120209000480 CA Part B Supplier - Clinic/Group Practice 5597922187 Receives reassigned benefits from 1 practitioner
Practice locations: Folsom, CA

National Provider Directory

National Provider Directory

Locations

24988 Blue Ravine Rd
Ste 106
Folsom, CA 95630
Phone (916) 355-0440

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": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1689849531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24988 BLUE RAVINE RD",
            "address_2": "SUITE 106",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956305284",
            "telephone_number": "916-355-0440",
            "fax_number": "916-355-0441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24988 BLUE RAVINE RD",
            "address_2": "SUITE 106",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956305284",
            "telephone_number": "916-355-0440",
            "fax_number": "916-355-0441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA PETERSON CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "916-355-0440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 26119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Health Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Folsom, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.