Active NPI
Daniel S Peterson, D.C.
- Chiropractor
- Saint Paul, MN
National Provider Identifier
1740360718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4081MNDC
- Practice address
- 2516 7TH Ave E
Saint Paul, MN 55109-3003 - Phone
- (651) 770-3805
- Fax
- (651) 747-8737
- NPI assigned
- Oct 16, 2006
- 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 | 4081MNDC | MN | Primary |
Addresses
Primary practice location
2516 7TH Ave E
Saint Paul, MN 55109-3003
Mailing address
2516 7TH Ave E
Saint Paul, MN 55109-3003
Phone (651) 770-3805
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2516 - 7TH Ave E
North Saint Paul, MN 55109-3003
Phone (651) 770-3805
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4081 | MN | MD | Marriage & Family Therapist |
| 4081MNDC | MN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North St Paul Chiropractic Office, P.a. | Chiropractor | Current | Accepting new patients |
Locations
2516 7th Ave E
Saint Paul, MN 55109
Phone (651) 770-3805
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Saint Paul, MN
- NPI 1356421317
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740360718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2516 7TH AVE E",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551093003",
"telephone_number": "651-770-3805",
"fax_number": "651-747-8737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2516 7TH AVE E",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551093003",
"telephone_number": "651-770-3805",
"fax_number": "651-747-8737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "DANIEL",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "4081MNDC",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.