Individual provider Active NPI

Margaret E Peterson, D.C.

  • Chiropractor
  • Enderlin, ND
National Provider Identifier
1770522351
Registry record updated Nov 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
709 Issued in ND
Practice address
207 Broadway St
Enderlin, ND 58027-1201
Phone
(701) 437-3888
Fax
(701) 437-3889
NPI assigned
Jun 6, 2006
Last updated
Nov 5, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 709 ND Primary

Addresses

Primary practice location

207 Broadway St
Enderlin, ND 58027-1201

Mailing address

207 Broadway St
Enderlin, ND 58027-1201
Phone (701) 437-3888

Other identifiers 1

IdentifierTypeStateIssuer
12178MedicaidND

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080213000360 ND Practitioner - Chiropractic 5395828412 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

207 Broadway St
Enderlin, ND 58027-1201
Phone (701) 437-3888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
709NDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Chiropractic & Massage PC Chiropractor CurrentSince Jan 1, 2008 Accepting new patients

Locations

207 Broadway St
Enderlin, ND 58027
Phone (701) 437-3888

Interoperability endpoints

  • Direct secure messaging: drmaggie@fcm0001.direct.chirotouch.md

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225843200000",
    "number": "1770522351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 BROADWAY ST",
            "city": "ENDERLIN",
            "state": "ND",
            "postal_code": "580271201",
            "telephone_number": "701-437-3888",
            "fax_number": "701-437-3889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 BROADWAY ST",
            "city": "ENDERLIN",
            "state": "ND",
            "postal_code": "580271201",
            "telephone_number": "701-437-3888",
            "fax_number": "701-437-3889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "MARGARET",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2008-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12178",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Enderlin, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; 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.

Verify at the official NPI Registry.