Organization Active NPI

Ambient Chiropractic PA

  • Chiropractor
  • Montevideo, MN
National Provider Identifier
1831132687
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3676 Issued in MN
Legal business name
AMBIENT CHIROPRACTIC PA
Practice address
2302 E Highway 7
Montevideo, MN 56265-3152
Phone
(320) 269-5000
NPI assigned
Jun 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Authorized official

Name
Mrs. Wanique Anne Peterson, DCNPI 1316999279
Title
Chiropractor/Owner
Phone
(320) 269-5000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3676 MN Primary

Addresses

Primary practice location

2302 E Highway 7
Montevideo, MN 56265-3152

Mailing address

2302 E Highway 7
Montevideo, MN 56265-3152
Phone (320) 269-5000

Other identifiers 2

IdentifierTypeStateIssuer
405018500MedicaidMN
84G86WEOtherMNBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060627000362 MN Part B Supplier - Clinic/Group Practice 2163434655 Receives reassigned benefits from 4 practitioners
Practice locations: Benson, MN; Montevideo, MN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2078990Ambient Chiropractic2302 East Highway 7, Montevideo, MN 56265Certificate of waiverJun 8, 2028

National Provider Directory

National Provider Directory

Locations

220 13TH St N
Benson, MN 56215
Phone (320) 314-2368

220 13th St S
Benson, MN 56215
Phone (320) 269-5000

1213 Pacific Ave
Benson, MN 56215
Phone (320) 269-3131

2302 E Highway 7
Montevideo, MN 56265
Phone (320) 269-3131

Interoperability endpoints

  • Direct secure messaging: dr.opdahl@acp0006.direct.chirotouch.md
  • Direct secure messaging: dr.sunshine@acp0006.direct.chirotouch.md
  • Direct secure messaging: dr.peterson@acp0006.direct.chirotouch.md

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760313600000",
    "number": "1831132687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2302 E HIGHWAY 7",
            "city": "MONTEVIDEO",
            "state": "MN",
            "postal_code": "562653152",
            "telephone_number": "320-269-5000",
            "fax_number": "320-269-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 E HIGHWAY 7",
            "city": "MONTEVIDEO",
            "state": "MN",
            "postal_code": "562653152",
            "telephone_number": "320-269-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBIENT CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "WANIQUE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "320-269-5000",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "405018500",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "84G86WE",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montevideo, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; 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.