100 CHIRO SPETERSON LLC
NPI 1124846597
Chiropractor in Glendale, AZ
About 100 Chiro Speterson Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
100 CHIRO SPETERSON LLC (NPI 1124846597) is a healthcare organization registered as a chiropractor in Glendale, Arizona and active in the NPI registry since October 2024. The organization lists Steven Peterson, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
100 Chiro Speterson Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to 100 Chiro Speterson LLC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 100 Chiro Speterson LLC's NPI number?
The NPI number for 100 Chiro Speterson LLC is 1124846597. It was assigned to this organization in the NPPES registry on October 2, 2024.
Where is 100 Chiro Speterson LLC located?
100 Chiro Speterson LLC is located at 20004 N 67th Ave Ste 502, Glendale, AZ 85308. The listed phone number is (513) 544-0025.
What is 100 Chiro Speterson LLC's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is 100 Chiro Speterson LLC enrolled in Medicare?
Yes. 100 Chiro Speterson LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through 100 Chiro Speterson LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to 100 Chiro Speterson LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for 100 Chiro Speterson LLC was last updated on November 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.
# 100 Chiro Speterson Llc · NPI 1124846597
Chiropractor organization in Glendale, Arizona. Organization record, active in the CMS NPPES registry since October 2, 2024.
## Identity
- **NPI:** 1124846597 (Entity type: Organization)
- **Enumerated:** October 2, 2024
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Steven Peterson, OWNER
## Practice location
- **Address:** 20004 N 67TH AVE STE 502, Glendale, AZ 85308-4623
- **Phone:** (513) 544-0025
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Chiropractic) reassign Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 7, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1124846597) · Data from the CMS NPPES public registry.