DR. MICHAEL PETERSON (NPI# 1811358997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811358997 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL PETERSON |
| Credential | D.C. |
| Practice Address |
1021 N Market Plz 102 Pueblo West CO 81007-1531 |
| Practice Telephone | 7192517708 |
| Enumeration Date | 2016-03-16 |
| Last Update Date | 2016-03-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 0007367 | CO | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942794839 | Michael Peterson | Physician Assistant | 3181 Sw Sam Jackson Park Rd # P31, Portland, OR 97239-3098 | 2018-06-14 |
| 1548715634 | Michael Latrae Peterson | Social Worker | 6767 W Windmill Ln, Las Vegas, NV 89139-6501 | 2016-08-18 |
| 1033544119 | Michael Robert Peterson | Counselor | 522 4th St S, Stillwater, MN 55082-4966 | 2013-09-09 |
| 1750651113 | Michael Peterson | Social Worker | 1400 N Hayworth Ave Apt 9, West Hollywood, CA 90046-3836 | 2012-01-03 |
| 1578848131 | Michael Dean Peterson | Dentist | 4710 Amber Valley Pkwy S, Ste A, Fargo, ND 58104 | 2011-10-14 |
| 1467693119 | Michael Lamont Peterson | Registered Nurse | 13 Hollister St, Rochester, NY 14605-1401 | 2009-03-10 |
| 1003062001 | Michael Carl Peterson | Physical Therapist | 2850 Mitchell Rd, Jamestown, NY 14701-8906 | 2008-08-11 |
| 1942472691 | Michael E Peterson | Dentist | 5355 W State St, Boise, ID 83703-3333 | 2008-04-01 |
| 1134325145 | Michael W Peterson | Dentist | 1319 Tennessee St, Vallejo, CA 94590 | 2007-06-26 |
| 1609079094 | Michael Gene Peterson | Emergency Medicine | 201 E. Nicollet Blvd., Burnsville, MN 55337 | 2007-06-06 |
| Street Address |
1021 N MARKET PLZ 102 |
| City | PUEBLO WEST |
| State | CO |
| Zip Code | 81007-1531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245542760 | Theresa Herrera | Technician, Other | 1021 N Market Plz, Pueblo West, CO 81007-1531 | 2010-07-13 |
| 1144828401 | Boondocs Medical Services, LLC | Family Medicine | 1021 N Market Plz, Pueblo West, CO 81007-1531 | 2020-10-09 |
| 1962863068 | 100 Percent Chiropractic Pueblo One | Chiropractor | 1021 N Market Plz, 102, Pueblo West, CO 81007-1531 | 2016-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811406630 | Southern Colorado Hearing Associates, Inc. | Audiologist | 904 East Hailey Lane, Pueblo West, CO 81007 | 2017-09-25 |
| 1396274361 | Laura Selig | Physical Therapist | 1168 N Thorpe Dr, Pueblo West, CO 81007 | 2017-06-05 |
| 1710351127 | Benjamin Gaines | Speech-Language Pathologist | 1056 W Broken Bow Dr, Pueblo West, CO 81007 | 2015-11-23 |
| 1467861351 | Zoe Grillos | Massage Therapist | 876 S Knox Dr, Pueblo West, CO 81007 | 2014-08-05 |
| 1033454186 | Melissa Lynn Hollis | Occupational Therapy Assistant | 1333 N Blue Lake Ln, Pueblo West, CO 81007 | 2012-11-30 |
| 1336491125 | Patricia Deana Cuadrado | General Practice | 44 E. Spaulding Ave., Pueblo West, CO 81007 | 2012-10-04 |
| 1194088021 | Aaron J Wilson | Chiropractor | 50 S Dunlap Dr, Pueblo West, CO 81007 | 2012-06-15 |
| 1780811893 | Rhonda Renee Grigg | Pediatrics | 332 S Orchard Springs Dr. 150, Pueblo, CO 81007 | 2009-06-16 |
| 1144482191 | Christopher Nicholas Liontas | Dentist | 360 S. Orchard Springs Dr, Pueblo West, CO 81007 | 2008-07-01 |
| 1780855718 | Justin Dean Youngren | Chiropractor | 50 S Dunlap Drive, Pueblo West, CO 81007 | 2008-03-18 |
| Find all providers in zip 81007 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225541915 | Aeg Chiropractic | Chiropractor | 63 E Spaulding Ave Ste E114115, Pueblo West, CO 81007-5416 | 2017-11-16 |
| 1194088021 | Aaron J Wilson | Chiropractor | 50 S Dunlap Dr, Pueblo West, CO 81007 | 2012-06-15 |
| 1780855718 | Justin Dean Youngren | Chiropractor | 50 S Dunlap Drive, Pueblo West, CO 81007 | 2008-03-18 |
| 1013188184 | Lora Walfoort | Chiropractor | 1021 N Market Plz Ste 102, Pueblo West, CO 81007 | 2008-03-17 |
| 1033242888 | David Arthur Vik | Chiropractor | 171 S Purcell Blvd, Pueblo West, CO 81007-5081 | 2007-03-13 |
| 1669983755 | Pueblo West Chiropractic Health Solutions Inc. | Chiropractor | 171 S Purcell Blvd, Pueblo West, CO 81007-5081 | 2017-10-17 |
| 1962863068 | 100 Percent Chiropractic Pueblo One | Chiropractor | 1021 N Market Plz, 102, Pueblo West, CO 81007-1531 | 2016-03-16 |
| 1770799744 | Pueblo West Chiropractic Center Inc. | Chiropractor | 171 S Purcell Blvd, Pueblo West, CO 81007-5081 | 2007-05-15 |
| 1982738704 | Angela Elaine Vik | Chiropractor | 171 S Purcell Blvd, Pueblo West, CO 81007-5081 | 2007-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841890704 | Bekah Peterson | Chiropractor | 1550 Main St Unit 112, Windsor, CO 80550-7916 | 2020-10-29 |
| 1548860836 | Kirton Chiropractic LLC | Chiropractor | 6841 W Asbury Pl, Lakewood, CO 80227-2690 | 2020-10-27 |
| 1427657881 | Robert Spackman | Chiropractor | 1485 Garden of The Gods Rd Ste 156, Colorado Springs, CO 80907-3306 | 2020-10-18 |
| 1588271167 | Nichole Geary | Chiropractor | 2355 N Lafayette St Apt 1, Denver, CO 80205-5381 | 2020-09-28 |
| 1548875586 | Ao Colorado Pllc | Chiropractor | 103 Fourth Street, Suite 330, Castle Rock, CO 80104-2449 | 2020-09-15 |
| 1710592779 | Ao Colorado Pllc | Chiropractor | 6901 S. Yosemite Street, Suite 102, Centennial, CO 80112-1413 | 2020-09-15 |
| 1932713351 | Jeffrey Lee Houston | Chiropractor | 1519 Park Central Dr, Highlands Ranch, CO 80129-2759 | 2020-09-02 |
| 1851904023 | 100 Chiro Peterson Three LLC | Chiropractor | 5714 W 89th Ave, Westminster, CO 80031 | 2020-08-28 |
| 1811508369 | Haak Chiropractic LLC | Chiropractor | 6666 Gunpark Dr Ste 100, Boulder, CO 80301-3396 | 2020-08-10 |
| 1992315915 | Andrew Phelan Dc PC | Chiropractor | 6169 S Balsam Way Ste 310, Littleton, CO 80123-3064 | 2020-08-04 |
| Find all providers with the same taxonomy | ||||
| City | PUEBLO WEST |
| Zip Code | 81007 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.