Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1972679439 Individual Practitioner Male Practitioner

Dr. Keith A Peterson , DC

Chiropractor • Rolla, MO

Professional Overview & Biography Verified Profile Summary

Dr. Keith Peterson, DC is a registered healthcare professional specializing in Chiropractor in Rolla, MO. Practice services are available at 1205 HAUCK DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1205 Hauck Dr

Rolla, MO 654014900

Telephone 5734262225
Fax 5734262290
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Rolla, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.8 Yrs
State Avg: 20.4 Yrs
Regional Practice Density
11 Specialists

Practicing in Rolla, MO (2674 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License MO 2003008892

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Blue Cross Blue Shield
176200 (MO)
Commercial Insurance / Payer ID Healthlink
694831 (MO)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1508932062

Doctor of Chiropractic

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 02, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location December 02, 2016

Registered at 1205 HAUCK DR, ROLLA, MO 654014900 (Tel: 5734262225)

📍
Updated Business Mailing Address December 02, 2016

Registered at 12661 COUNTY ROAD 5050, ROLLA, MO 654018053 (Tel: 5735786416)

👤
Provider Name / Credentials Updated December 02, 2016

Recorded as KEITH PETERSON, DC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 02, 2016

Chiropractor (License #2003008892 in MO)

🟢
Initial NPI Registration & Enumeration November 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Keith Peterson. Be the first to share your experience!

Sign in to leave a review for Dr. Keith Peterson

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1972679439
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 28, 2006
Last Update: December 02, 2016
Sole Proprietor: No

Mailing Address

12661 County Road 5050

Rolla, MO 654018053

Phone: 5735786416

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.