Larry Dean Peterson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1079 Issued in AZ

Practice address

6339 E. Greenway Road
#104
Scottsdale, AZ 85254-6517

Phone

(480) 443-7678

Fax

(480) 443-7661

NPI assigned

Oct 28, 2005

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• American Family Chiropractic & Rehab of Scottsdale LLC

  • Chiropractor
  • Scottsdale, AZ
  • NPI 1235459181
  NPD (past)
• D W Centers LLC

  • Chiropractor
  • Mesa, AZ
  • NPI 1043356496
  NPD (past)
• First Chiropractic - Camino LLC

  • Chiropractor
  • Tucson, AZ
  • NPI 1265478168
  NPD (past)
• Healing Ways PLLC

  • Chiropractor
  • Benson, AZ
  • NPI 1124532361
  NPD (past)
• Trent J Burrup PC

  • Chiropractor
  • West Jordan, UT
  • NPI 1558542100
  NPD (past)

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292198400000",
    "number": "1962493098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6339 E. GREENWAY ROAD",
            "address_2": "#104",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852546517",
            "telephone_number": "480-443-7678",
            "fax_number": "480-443-7661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6339 E. GREENWAY ROAD",
            "address_2": "#104",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852546517",
            "telephone_number": "480-443-7678",
            "fax_number": "480-443-7661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "LARRY",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-28",
        "last_updated": "2010-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "1079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas M Peterson, M.D.
• Jennifer Peterson, D.O.
• Kenneth Brian Peterson, MD
• Kindra Sue Peterson, RD
• Kristen Noel Peterson, FNP-C
• Leeanna Peterson, FNP-C
• Lori-Ann Elizabeth Peterson, FNP-C, AGACNP-BC
• Michelle Ashley Edwards Peterson, AGACNP
• Paradiez Peterson, RBT
• Sarah Marie Peterson, RN

• Chiropractor in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; 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.