Organization Active NPI

Jpete LLC

  • Chiropractor
  • Charleston, SC
National Provider Identifier
1982874699
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2166 Issued in SC
Legal business name
JPETE LLC
Practice address
1939 Maybank Hwy
Suite C
Charleston, SC 29412-2114
Phone
(843) 795-1999
NPI assigned
Mar 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Authorized official

Name
Julie Peterson, D.C.NPI 1629035167
Title
Doctor
Phone
(843) 795-1999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 2166 SC Primary

Addresses

Primary practice location

1939 Maybank Hwy
Suite C
Charleston, SC 29412-2114

Mailing address

1939 Maybank Hwy
Charleston, SC 29412-2114
Phone (843) 795-1999

Other identifiers 1

IdentifierTypeStateIssuer
CH2167MedicaidSC

Other names 1

  • Peterson Family Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

1939 Maybank Hwy
Unit C
Charleston, SC 29412
Phone (843) 795-1999

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1982874699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1939 MAYBANK HWY",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294122114",
            "telephone_number": "843-795-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1939 MAYBANK HWY",
            "address_2": "SUITE C",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294122114",
            "telephone_number": "843-795-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JPETE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-10",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "843-795-1999",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH2167",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peterson Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.