DR. TIMOTHY J PETERS D.C.
NPI 1124137955
Chiropractor in Dickinson, ND

Q: What is Timothy Peters's NPI number?

The NPI number for Timothy Peters is 1124137955. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Q: What is Timothy Peters's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Timothy Peters was last updated on December 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since August 29, 2006

562 12TH ST W, DICKINSON, ND 58601(701) 483-1104(701) 483-1443 Get Directions Write a Review

NPPES record last updated: December 1, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Dr. Timothy J Peters D.c. NPPES

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

DR. TIMOTHY J PETERS D.C. (NPI 1124137955) is an individual chiropractor in Dickinson, North Dakota, licensed in North Dakota (564) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1124137955

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameDR. TIMOTHY J PETERSCredential: D.C.

Location Address562 12TH ST WDickinson, ND 58601-3509

Mailing Address562 W 12thDickinson, ND 58601-3509 · (701) 483-1104 · Fax (701) 483-1443

Phone(701) 483-1104

Fax(701) 483-1443

Sole ProprietorNo

Enumeration DateAugust 29, 2006

Last NPPES UpdateDecember 1, 2008

✔ NPI 1124137955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in ND · 564

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.

562 12TH ST W, Dickinson, ND 58601

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Other Identifiers 6

Other12125ND · Blue Cross Blue Shield

Medicare NSC6008970001ND

Medicare ID-Type Unspecified12125ND

Medicare PINN12125ND

Medicare UPINU47407ND

Medicaid17920ND

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Timothy J Peters D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Timothy Peters reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Peters Chiropractic, P.C.

0.8 mi

Chiropractor

562 12TH ST W
Dickinson, ND 58601

Reassigned Medicare billing, North Dakota enrollment
4 clinicians in this Medicare group

NPI 1518028331 (701) 483-1104

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 4

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

JACOB A SELINGER D.C.

Chiropractor

562 12TH ST W
DICKINSON, ND 58601

Stark County (701) 483-1104

DR. CASSANDRA LEE STEFFES D.C.

Chiropractor

562 12TH ST W
DICKINSON, ND 58601

Stark County (701) 483-1104

PETERS CHIROPRACTIC, P.C.

Chiropractor

562 12TH ST W
DICKINSON, ND 58601

Stark County (701) 483-1104

DR. ALISON ANN HENKE DC

Chiropractor

562 12TH ST W
DICKINSON, ND 58601

Stark County (701) 483-1104

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 Timothy Peters's NPI number?

The NPI number for Timothy Peters is 1124137955. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Where is Timothy Peters located?

Timothy Peters practices at 562 12th St W, Dickinson, ND 58601. The listed phone number is (701) 483-1104.

What is Timothy Peters's specialty?

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

Is Timothy Peters enrolled in Medicare?

Yes. Timothy Peters is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Timothy Peters's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Peters reassigns Medicare benefits to Peters Chiropractic, P.C. (Dickinson, ND). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Timothy Peters's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Timothy Peters was last updated on December 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.