Individual provider Active NPI

Erik D Peterson, D.C.

  • Chiropractor
  • Sterling, IL
National Provider Identifier
1841225679
Registry record updated Sep 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38010289 Issued in IL
Practice address
3917 E Lincolnway Ste B
Sterling, IL 61081-9740
Phone
(815) 535-9900
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38010289 IL Primary

Addresses

Primary practice location

3917 E Lincolnway Ste B
Sterling, IL 61081-9740

Mailing address

2706 Woodlawn Rd
Sterling, IL 61081-4100
Phone (815) 535-9900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050118000332 IL Practitioner - Chiropractic 8628027653 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2706 Woodlawn Rd
Suite a
Sterling, IL 61081-4100
Phone (815) 535-9900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38010289ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Peterson Chiropractic & Sports Injury, S.C. Chiropractor CurrentSince Jan 5, 2007 Accepting new patients
Moline Chiropractic Clinic, PC Chiropractor Past Accepting new patients

Locations

3917 E Lincolnway
Ste B
Sterling, IL 61081
Phone (815) 535-9900

2706 Woodlawn Rd
Ste A
Sterling, IL 61081
Phone (815) 535-9900

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568764800000",
    "number": "1841225679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2706 WOODLAWN RD",
            "city": "STERLING",
            "state": "IL",
            "postal_code": "610814100",
            "telephone_number": "815-535-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3917 E LINCOLNWAY STE B",
            "city": "STERLING",
            "state": "IL",
            "postal_code": "610819740",
            "telephone_number": "815-535-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "ERIK",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2019-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "38010289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; 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.