Organization Active NPI

Petersen Chiropractic, PLLC

  • Chiropractor
  • Asheville, NC
National Provider Identifier
1881001683
Registry record updated Jul 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4387 Issued in NC
Legal business name
PETERSEN CHIROPRACTIC, PLLC
Practice address
667 Brevard Rd
Asheville, NC 28806-2237
Phone
(828) 667-4060
NPI assigned
Jul 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2014

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

Authorized official

Name
Dr. Kirsten Petersen, D.C.
Title
Owner
Phone
(828) 667-4060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4387 NC Primary

Addresses

Primary practice location

667 Brevard Rd
Asheville, NC 28806-2237

Mailing address

667 Brevard Rd
Asheville, NC 28806-2237
Phone (828) 667-4060

Other identifiers 1

IdentifierTypeStateIssuer
NCH2570281OtherNCMEDICARE PTAN

Other names 1

  • Welcome Wellness Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1405296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405296000000",
    "number": "1881001683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "667 BREVARD RD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288062237",
            "telephone_number": "828-667-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "667 BREVARD RD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288062237",
            "telephone_number": "828-667-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETERSEN CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-14",
        "last_updated": "2014-07-14",
        "status": "A",
        "authorized_official_last_name": "PETERSEN",
        "authorized_official_first_name": "KIRSTEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-667-4060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "NCH2570281",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Welcome Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.