Stanley Joseph Peltier III, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

7251 Issued in MN

Practice address

2903 E 42ND St
Minneapolis, MN 55406-3135

Phone

(612) 722-2147

Fax

(612) 722-1581

NPI assigned

Jun 5, 2024

Last updated

Jun 5, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• City Lakes Chiropractic PA

  • Chiropractor
  • Minneapolis, MN
  • NPI 1992929541
  Medicare reassignment

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

{
    "created_epoch": "1717545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1912748757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2903 E 42ND ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554063135",
            "telephone_number": "612-722-2147",
            "fax_number": "612-722-1581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2903 E 42ND ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554063135",
            "telephone_number": "612-722-2147",
            "fax_number": "612-722-1581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELTIER",
        "first_name": "STANLEY",
        "middle_name": "JOSEPH",
        "name_suffix": "III",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-05",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "7251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Ann Pelkola, PA-C
• Genevieve Joan Pelrine, LICSW
• Carol Jean Peltier, OT
• George L Peltier, MD
• Margaret Peltier, MA, LPCC
• Justin Charles Peltola, M.D.
• Pelvic Floor Center, LLC
• Rachel Pelzel
• Isabela Pena Pino, MD
• Vianey Occelly Pena Torres, MSW, LICSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.