Peter Pfeffer, DC, L. ACP

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

003011 Issued in MN

Practice address

108 15TH Ave E
Alexandria, MN 56308-2510

Phone

(320) 762-2350

Fax

(320) 762-2379

NPI assigned

Oct 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pfeffer Chiropractic and Concussion Clinic PAGroup PAC ID 7012178106, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Pfeffer Chiropractic and Concussion Clinic PA

  • Chiropractor
  • Alexandria, MN
  • NPI 1447348453
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557100800000",
    "number": "1851489850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 15TH AVE E",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563082510",
            "telephone_number": "320-762-2350",
            "fax_number": "320-762-2379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 15TH AVE E",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563082510",
            "telephone_number": "320-762-2350",
            "fax_number": "320-762-2379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFEFFER",
        "first_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "DC, L. ACP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2019-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MN",
            "license": "003011",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "003011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID",
            "identifier": "41-1824263",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "897028900",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Jon Peterson, MD
• Randy J Peterson, MD
• Richard W Petty, RPH
• Pfeffer Chiropractic and Concussion Clinic PA
• Michael Pfeffer, D.C.
• Mary Jo Phillips, LPC
• Pima Solutions LLC
• Tamara Pitman
• Christine Ann Pizel
• Planned Parenthood Minnesota, North Dakota, South Dakota

• Chiropractor in Alexandria, MN
• Providers in Alexandria, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.