Active NPI
James Peters, D.C.
- Chiropractor
- Theresa, WI
National Provider Identifier
1710138292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4445-012
- Practice address
- W344 Highway DW
Theresa, WI 53091-9777 - Phone
- (262) 623-7373
- NPI assigned
- Oct 2, 2008
- Last updated
- Oct 2, 2008
- Sex
- Male
- Sole proprietor
- No
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 | 4445-012 | WI | Primary |
Addresses
Primary practice location
W344 Highway DW
Theresa, WI 53091-9777
Mailing address
W344 Highway DW
Theresa, WI 53091-9777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4445-012 | WI | MD | Chiropractor |
| 4445 | WI | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Juneau Chiropractic Center | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Juneau, WI
- NPI 1457306375
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222905600000",
"number": "1710138292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W344 HIGHWAY DW",
"city": "THERESA",
"state": "WI",
"postal_code": "530919777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "W344 HIGHWAY DW",
"city": "THERESA",
"state": "WI",
"postal_code": "530919777",
"telephone_number": "262-623-7373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERS",
"first_name": "JAMES",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-10-02",
"last_updated": "2008-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "4445-012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Theresa, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.