Active NPI
Kristen Peeters, DC
- Chiropractor
- Rome, NY
National Provider Identifier
1730287756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X010980-1
- Practice address
- 110 W Thomas St
Rome, NY 13440-5129 - Phone
- (315) 339-3304
- Fax
- (315) 339-3305
- NPI assigned
- Sep 21, 2006
- Sex
- Female
- 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 | X010980-1 | NY | Primary |
Addresses
Primary practice location
110 W Thomas St
Rome, NY 13440-5129
Mailing address
110 W Thomas St
Rome, NY 13440-5129
Phone (315) 339-3304
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 |
|---|---|---|---|
| X010980-1 | NY | MD | Chiropractor |
| 010980 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256515200000",
"number": "1730287756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 W THOMAS ST",
"city": "ROME",
"state": "NY",
"postal_code": "134405129",
"telephone_number": "315-339-3304",
"fax_number": "315-339-3305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 W THOMAS ST",
"city": "ROME",
"state": "NY",
"postal_code": "134405129",
"telephone_number": "315-339-3304",
"fax_number": "315-339-3305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEETERS",
"first_name": "KRISTEN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-21",
"last_updated": "2009-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X010980-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rome, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.