Connor Neal Peterson, DC

Primary specialty

Neurology ChiropractorTaxonomy code 111NN0400X

License

2030 Issued in NE

Practice address

208 Commercial St
Stromsburg, NE 68666-3024

Phone

(402) 764-0494

NPI assigned

Sep 1, 2020

Last updated

Feb 11, 2022By 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 NE

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Peterson Chiropractic and Wellness LLC

  • Neurology Chiropractor
  • Stromsburg, NE
  • NPI 1447904099
  Medicare reassignment NPD Authorized official
• Hackbart Chiropractic LLC

  • Chiropractor
  • Seward, NE
  • NPI 1881554194
  NPD (past)

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1992319545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306",
            "city": "STROMSBURG",
            "state": "NE",
            "postal_code": "686660306",
            "telephone_number": "402-764-0494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 COMMERCIAL ST",
            "city": "STROMSBURG",
            "state": "NE",
            "postal_code": "686663024",
            "telephone_number": "402-764-0494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "CONNOR",
        "middle_name": "NEAL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-01",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "NE",
            "license": "2030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Celeste McCoy
• Midwest Covenant Home, Inc.
• Midwest Covenant Home, Inc.
• Hyde Patience, M.S. ED., CCC-SLP
• Peterson Chiropractic and Wellness LLC
• Prairie Creek Family Medicine LLC
• Tanya Michelle Randolph-Elgin, PSY.D.
• Refuge Counseling
• Katherine Rystrom, FNP
• Michael W. Ulffers, DDS

• Neurology Chiropractor in Stromsburg, NE
• Providers in Stromsburg, NE by specialty
• Neurology Chiropractor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.