Organization Active NPI

Peters Chiropractic Clinic PA

  • Chiropractor
  • Wichita, KS
National Provider Identifier
1780735779
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0103787 Issued in KS
Legal business name
PETERS CHIROPRACTIC CLINIC PA
Practice address
8404 W 13TH St N
Suite 150
Wichita, KS 67212-2978
Phone
(316) 943-7352
Fax
(316) 946-5991
NPI assigned
Jan 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Gerald Kent Peters, D.C.
Title
President
Phone
(316) 943-7352

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 0103787 KS Primary

Addresses

Primary practice location

8404 W 13TH St N
Suite 150
Wichita, KS 67212-2978

Mailing address

8404 W. 13TH St.
Suite 150
Wichita, KS 67212
Phone (316) 943-7352

National Provider Directory

National Provider Directory

Locations

8404 W 13th St N
Ste 150
Wichita, KS 67212
Phone (316) 943-7352

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780735779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8404 W. 13TH ST.",
            "address_2": "SUITE 150",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67212",
            "telephone_number": "316-943-7352",
            "fax_number": "316-946-5991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8404 W 13TH ST N",
            "address_2": "SUITE 150",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672122978",
            "telephone_number": "316-943-7352",
            "fax_number": "316-946-5991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETERS CHIROPRACTIC CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "KENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "316-943-7352",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "0103787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.