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MICHAEL JOHN PETERSON DC
NPI 1053159640
Chiropractor in Brandon, SD

Active since July 17, 2024
125 E HOLLY BLVD, BRANDON, SD 57005(605) 582-8800 Get Directions Write a Review

NPPES record last updated: July 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael John Peterson Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL JOHN PETERSON DC (NPI 1053159640) is an individual chiropractor in Brandon, South Dakota, licensed in South Dakota (1485) and active in the NPI registry since July 2024. He is a graduate of Other (2024).

NPPES Registry Identity

NPI1053159640
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameMICHAEL JOHN PETERSONCredential: DC
Location Address125 E HOLLY BLVDBrandon, SD 57005
Mailing Address5413 S Seville PlSioux Falls, SD 57108-7572 · (712) 899-3597
Phone(605) 582-8800
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 17, 2024
NPPES CertifiedJuly 10, 2024
✔ NPI 1053159640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in SD · 1485
Definition
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.
125 E HOLLY BLVD, Brandon, SD 57005
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Medica, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael John Peterson Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1153852363
PECOS Enrollment IDI20240930000181

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHIROSPORT BRANDON, PC
Clinic/Center
125 E HOLLY BLVD
BRANDON, SD 57005
Minnehaha County (605) 582-8800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Peterson's NPI number?

The NPI number for Michael Peterson is 1053159640. It was assigned to this individual provider in the NPPES registry on July 17, 2024.

Where is Michael Peterson located?

Michael Peterson practices at 125 E Holly Blvd, Brandon, SD 57005. The listed phone number is (605) 582-8800.

What is Michael Peterson's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Michael Peterson enrolled in Medicare?

Yes. Michael Peterson is registered in the Medicare PECOS enrollment system.

What insurance does Michael Peterson accept?

Health plans from Avera Health Plans, Medica and Sanford Health Plan list Michael Peterson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Peterson was last updated on July 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.