Organization Active NPI

Nickalos L. Peterson, D.C.,P.C.

Doing business as Peterson Chiropractic

  • Chiropractor
  • Ridgefield, CT
National Provider Identifier
1700035052
Registry record updated Sep 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
NICKALOS L. PETERSON, D.C.,P.C.
Doing business as
Peterson Chiropractic
Practice address
31 Bailey Ave
Ridgefield, CT 06877-4533
Phone
(203) 438-9609
NPI assigned
Sep 11, 2008
Last updated
Sep 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2008

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

Authorized official

Name
Dr. Nickalos Lee Peterson, D.C.NPI 1598864282
Title
Owner
Phone
(203) 438-9606

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

31 Bailey Ave
Ridgefield, CT 06877-4533

Mailing address

31 Bailey Ave
Ridgefield, CT 06877-4533

Other names 1

  • Peterson Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

31 Bailey Ave
Ridgefield, CT 06877
Phone (203) 431-3901

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221091200000",
    "number": "1700035052",
    "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"
        },
        {
            "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": {
        "organization_name": "NICKALOS L. PETERSON, D.C.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-11",
        "last_updated": "2008-09-11",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "NICKALOS",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-438-9606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peterson Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ridgefield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.