Petersen Chiropractic

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

PETERSEN CHIROPRACTIC

Practice address

5122 N Rhett Ave
North Charleston, SC 29405-4240

Phone

(920) 205-5180

NPI assigned

Jul 17, 2020

Last updated

Jul 17, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kate Elizabeth Petersen, DCNPI 1942518402

Title

Owner

Phone

(920) 205-5180

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kate E Petersen, D.C.

  • Chiropractor
  • North Charleston, SC
  • NPI 1942518402
  Medicare reassignment NPD Authorized official
• Joshua Bruce Headley, D.C.

  • Chiropractor
  • North Charleston, SC
  • NPI 1881947919
  NPD (past)
• Jay Martin Schwartz, D.C.

  • Chiropractor
  • Charleston, SC
  • NPI 1619904075
  NPD (past)

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

{
    "created_epoch": "1594944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594944000000",
    "number": "1841808524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5122 N RHETT AVE",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294054240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5122 N RHETT AVE",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294054240",
            "telephone_number": "920-205-5180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETERSEN CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-17",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A",
        "authorized_official_last_name": "PETERSEN",
        "authorized_official_first_name": "KATE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-205-5180",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marquita Perry
• Hanna Persha, PHARMD
• Personal Healing and Mentoring
• Samantha Christine Peters, PA-C
• Whitney Peters
• Kate E Petersen, D.C.
• Angela Kelly Peterson, PA-C
• Megan R Peterson
• Taylor Pflug
• Kaitlin Phillips

• Medical Specialty Clinic/Center in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Medical Specialty Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.