MICHAEL L PETERSON D.C.
NPI 1699882514
Chiropractor - Sports Physician in Tulsa, OK

Q: What is Michael Peterson's NPI number?

The NPI number for Michael Peterson is 1699882514. It was assigned to this individual provider in the NPPES registry on August 24, 2006.

Q: What is Michael Peterson's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Q: When was this NPI record last updated?

The NPPES record for Michael Peterson was last updated on November 24, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 24, 2006Accepts Medicare Assignment

6808 S MEMORIAL DR STE 100, TULSA, OK 74133(918) 481-0655(918) 481-8729 Get Directions Write a Review

NPPES record last updated: November 24, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Michael L Peterson D.c. NPPES

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

MICHAEL L PETERSON D.C. (NPI 1699882514) is an individual sports physician in Tulsa, Oklahoma, licensed in Oklahoma (3020) and active in the NPI registry since August 2006. He is a graduate of Logan College Of Chiropractic (1984).

NPPES Registry Identity

NPI1699882514

Entity TypeIndividualMale

Primary Taxonomy111NS0005X

Provider Legal NameMICHAEL L PETERSONCredential: D.C.

Location Address6808 S MEMORIAL DR STE 100Tulsa, OK 74133-2066

Mailing Address6808 S Memorial Dr Ste 100Tulsa, OK 74133-2066 · (918) 481-0655 · Fax (918) 481-8729

Phone(918) 481-0655

Fax(918) 481-8729

Sole ProprietorNo

Medical School CMSLogan College Of ChiropracticGraduated 1984

Enumeration DateAugust 24, 2006

Last NPPES UpdateNovember 24, 2009

✔ NPI 1699882514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers

Taxonomy Code111NS0005X

License✔ Licensed in OK · 3020

Definition

A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.

6808 S MEMORIAL DR STE 100, Tulsa, OK 74133

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, CommunityCare, Medica and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael L Peterson D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012042898

PECOS Enrollment IDI20100318000343

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 1699882514. It was assigned to this individual provider in the NPPES registry on August 24, 2006.

Where is Michael Peterson located?

Michael Peterson practices at 6808 S Memorial Dr Ste 100, Tulsa, OK 74133. The listed phone number is (918) 481-0655.

What is Michael Peterson's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Is Michael Peterson enrolled in Medicare?

Yes. Michael Peterson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Michael Peterson accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, CommunityCare, Medica and UnitedHealthcare 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 November 24, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.