Active NPI
Sarah Mae Peters, DC
- Sports Physician Chiropractor
- Eden Prairie, MN
National Provider Identifier
1740430651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 4380
- Practice address
- 6982 Alpine TRL
Eden Prairie, MN 55346-3739 - Phone
- (612) 203-1318
- NPI assigned
- Sep 27, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 4380 | MN | Primary |
Addresses
Primary practice location
6982 Alpine TRL
Eden Prairie, MN 55346-3739
Mailing address
6982 Alpine TRL
Eden Prairie, MN 55346-3739
Phone (612) 203-1318
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222473600000",
"number": "1740430651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6982 ALPINE TRL",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553463739",
"telephone_number": "612-203-1318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6982 ALPINE TRL",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553463739",
"telephone_number": "612-203-1318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERS",
"first_name": "SARAH",
"middle_name": "MAE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-27",
"last_updated": "2008-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "MN",
"license": "4380",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eden Prairie, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.