Individual provider Active NPI

Nathaniel Cole Peery, D.C.

  • Chiropractor
  • Redding, CA
National Provider Identifier
1841633161
Registry record updated Dec 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
32609 Issued in CA
Practice address
1465 Victor Ave Ste a
Redding, CA 96003-4856
Phone
(530) 605-3701
Fax
(530) 605-3702
NPI assigned
Apr 17, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 32609 CA Primary

Addresses

Primary practice location

1465 Victor Ave Ste a
Redding, CA 96003-4856

Mailing address

1465 Victor Ave Ste a
Redding, CA 96003-4856
Phone (530) 605-3701

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130607000596 CA Practitioner - Chiropractic 4587802244 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3075 Victor Ave
Redding, CA 96002-1450
Phone (530) 605-3701

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
32609CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Nathaniel C. Peery, D.C., a Chiropractic Corporation CurrentSince Jan 5, 2017 Accepting new patients

Locations

1465 Victor Ave
Ste A
Redding, CA 96003
Phone (530) 605-3701

3075 Victor Ave
Ste A
Redding, CA 96002

3075 Victor Ave
Redding, CA 96002
Phone (530) 221-1312

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1366156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419984000000",
    "number": "1841633161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1465 VICTOR AVE STE A",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960034856",
            "telephone_number": "530-605-3701",
            "fax_number": "530-605-3702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1465 VICTOR AVE STE A",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960034856",
            "telephone_number": "530-605-3701",
            "fax_number": "530-605-3702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEERY",
        "first_name": "NATHANIEL",
        "middle_name": "COLE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-17",
        "last_updated": "2014-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "32609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2014; 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.