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DR. GLEN ALLEN PETERSON D.C.
NPI 1063444776
Chiropractor in Knightdale, NC

Active since July 06, 2006
817 N SMITHFIELD RD, KNIGHTDALE, NC 27545(919) 217-8188(919) 217-8189 Get Directions Write a Review

NPPES record last updated: November 14, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Glen Allen Peterson D.c. NPPES

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

DR. GLEN ALLEN PETERSON D.C. (NPI 1063444776) is an individual chiropractor in Knightdale, North Carolina, licensed in North Carolina (3728) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1063444776
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. GLEN ALLEN PETERSONCredential: D.C.
Location Address817 N SMITHFIELD RDKnightdale, NC 27545-7717
Mailing Address817 N Smithfield RdKnightdale, NC 27545-7717 · (919) 217-8188 · Fax (919) 217-8189
Phone(919) 217-8188
Fax(919) 217-8189
Sole ProprietorYes
Enumeration DateJuly 6, 2006
Last NPPES UpdateNovember 14, 2014
✔ NPI 1063444776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NC · 3728
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.

817 N SMITHFIELD RD, Knightdale, NC 27545
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Other Identifiers 1

Medicaid5907457NC

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 Glen Peterson's NPI number?

The NPI number for Glen Peterson is 1063444776. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Where is Glen Peterson located?

Glen Peterson practices at 817 N Smithfield Rd, Knightdale, NC 27545. The listed phone number is (919) 217-8188.

What is Glen Peterson's specialty?

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

When was this NPI record last updated?

The NPPES record for Glen Peterson was last updated on November 14, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.