Active NPI
Les V Peterson, DC
- Chiropractor
- Arlington, WA
National Provider Identifier
1952488967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00002363
- Practice address
- 415 N Olympic Ave
Arlington, WA 98223-1244 - Phone
- (360) 435-9200
- Fax
- (360) 435-5047
- NPI assigned
- Nov 1, 2006
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH00002363 | WA | Primary |
Addresses
Primary practice location
415 N Olympic Ave
Arlington, WA 98223-1244
Mailing address
415 N Olympic Ave
Arlington, WA 98223-1244
Phone (360) 435-9200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| U11492 | Other | WA | UPIN NUMBER |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH00002363 | WA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191974400000",
"number": "1952488967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 N OLYMPIC AVE",
"city": "ARLINGTON",
"state": "WA",
"postal_code": "982231244",
"telephone_number": "360-435-9200",
"fax_number": "360-435-5047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 N OLYMPIC AVE",
"city": "ARLINGTON",
"state": "WA",
"postal_code": "982231244",
"telephone_number": "360-435-9200",
"fax_number": "360-435-5047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "LES",
"middle_name": "V",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2007-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00002363",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPIN NUMBER",
"identifier": "U11492",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Arlington, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.