Taylor Peterson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6968 Issued in MN

Practice address

2571 Clare LN NE Ste 104
Rochester, MN 55906-8416

Phone

(630) 379-3882

NPI assigned

Mar 28, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1730930702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4533 3RD ST NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559013120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2571 CLARE LN NE STE 104",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559068416",
            "telephone_number": "630-379-3882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "TAYLOR",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Ann Peterson
• Lynne S Peterson, MD
• Maria Ilar Peterson, CRNA
• Noel R Peterson
• Ryan M. Peterson, CRNA
• Tegan Peterson
• Tyler Jeffrey Peterson, M.D.
• Uriah D Peterson, PHARM.D.
• Johan M Petersson, PT
• Stephen Petis

• Chiropractor in Rochester, MN
• Providers in Rochester, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.