Active NPI
Kristopher M Peters, D.O.
- Dermatology Physician
- Colorado Springs, CO
National Provider Identifier
1891058145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 1048
- Practice address
- Evans Army Community Hospital
1650 Cochrane Cir B7500
Colorado Springs, CO 80913 - Phone
- (719) 524-1144
- NPI assigned
- Jun 21, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 1048 | NE | Primary |
Addresses
Primary practice location
Evans Army Community Hospital
1650 Cochrane Cir B7500
Colorado Springs, CO 80913
Mailing address
Evans Army Community Hospital
1650 Cochrane Cir B7500
Colorado Springs, CO 80913
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1048 | NE | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692662400000",
"number": "1891058145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "EVANS ARMY COMMUNITY HOSPITAL",
"address_2": "1650 COCHRANE CIR B7500",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "80913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "EVANS ARMY COMMUNITY HOSPITAL",
"address_2": "1650 COCHRANE CIR B7500",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "80913",
"telephone_number": "719-524-1144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERS",
"first_name": "KRISTOPHER",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-21",
"last_updated": "2023-08-22",
"certification_date": "2023-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NE",
"license": "1048",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.