Peterson-Bird Chiropractic Corp

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC10275 Issued in CA

Legal business name

PETERSON-BIRD CHIROPRACTIC CORP

Practice address

4616 El Camino Ave
Sacramento, CA 95821

Phone

(916) 485-1091

Fax

(916) 485-7118

NPI assigned

Nov 22, 2006

Organization subpart

No

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

Authorized official

Name

Darrell L Bird, D.C.

Title

President

Phone

(916) 485-1091

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526601600000",
    "number": "1891860995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4616 EL CAMINO AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958216736",
            "telephone_number": "916-485-1091",
            "fax_number": "916-485-7118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4616 EL CAMINO AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95821",
            "telephone_number": "916-485-1091",
            "fax_number": "916-485-7118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETERSON-BIRD CHIROPRACTIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2018-05-18",
        "status": "A",
        "authorized_official_last_name": "BIRD",
        "authorized_official_first_name": "DARRELL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-485-1091",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC10275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Wayne Petersen, LCSW
• Monica Petersen
• Sarah Petersen
• Weste Kade Petersen
• Whitney Amber Petersen, PA-C
• Ashley Peterson, PSYD
• Chloe Peterson
• Danielle Frances Peterson, MD
• Derrick Schuyler Peterson
• Jennifer Rae Peterson

• Chiropractor in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2018; 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.