Organization Active NPI

Gregory D Peter D.C. PA

  • Chiropractor
  • Huntsville, TX
National Provider Identifier
1972937340
Registry record updated Aug 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
TX2637 Issued in TX
Legal business name
GREGORY D PETER D.C. PA
Practice address
901 Normal Park Dr
Suite 201
Huntsville, TX 77320-3770
Phone
(936) 291-2111
Fax
(936) 291-0665
NPI assigned
Aug 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2013

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

Authorized official

Name
Dr. Gregory Dale Peter, DC
Title
President
Phone
(936) 291-2111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X TX2637 TX Primary

Addresses

Primary practice location

901 Normal Park Dr
Suite 201
Huntsville, TX 77320-3770

Mailing address

901 Normal Park Dr
Suite 201
Huntsville, TX 77320-3770
Phone (936) 291-2111

Other identifiers 1

IdentifierTypeStateIssuer
600912OtherTXMEDICARE PTAN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377475200000",
    "number": "1972937340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 NORMAL PARK DR",
            "address_2": "SUITE 201",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773203770",
            "telephone_number": "936-291-2111",
            "fax_number": "936-291-0665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 NORMAL PARK DR",
            "address_2": "SUITE 201",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773203770",
            "telephone_number": "936-291-2111",
            "fax_number": "936-291-0665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY D PETER D.C. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-21",
        "last_updated": "2013-08-26",
        "status": "A",
        "authorized_official_last_name": "PETER",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "936-291-2111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "TX2637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "600912",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2013; 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.