Kelley Peterson Chiropractic, Incorporated

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC31078 Issued in CA

Legal business name

KELLEY PETERSON CHIROPRACTIC, INCORPORATED

Practice address

5673 W Las Positas Blvd
Ste 215
Pleasanton, CA 94588-8558

Phone

(925) 225-0500

Fax

(925) 225-0505

NPI assigned

Jan 14, 2014

Organization subpart

No

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

Authorized official

Name

Kelley Parker Peterson, DC

Title

President

Phone

(925) 225-0500

Specialties & licenses 1

Addresses

Other names 1

• HealthSpring Chiropractic Doing business as

Locations

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

{
    "created_epoch": "1389657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389657600000",
    "number": "1801218581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5673 W LAS POSITAS BLVD",
            "address_2": "STE 215",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945888558",
            "telephone_number": "925-225-0500",
            "fax_number": "925-225-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5673 W LAS POSITAS BLVD",
            "address_2": "STE 215",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945888558",
            "telephone_number": "925-225-0500",
            "fax_number": "925-225-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLEY PETERSON CHIROPRACTIC, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-14",
        "last_updated": "2014-01-14",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_middle_name": "PARKER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-225-0500",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC31078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthSpring Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elham Kazemi
• Shannon Marie Kearney, M.F.T.T.
• Alexandra Grace Keir
• Michael A Kellam
• Laura Keller, ATC
• Lauren Kelley
• Melisa Kelley, PHARMD
• Chloe Kellum
• Johanna Helen Kelly, LMFT
• Kerry-Ann Alyscia Kelly, MD

• Chiropractor in Pleasanton, CA
• Providers in Pleasanton, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; 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.