Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1386768265 Deactivated / Inactive NPI Male Practitioner

Dr. Kenneth Dean Peterson , DC, ND

Chiropractor • Hermiston, OR

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Kenneth Peterson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 18, 2007
NPI Deactivation Date May 04, 2020
Total Practice Duration ~13 Years of Practice (2007 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Peterson, DC, ND was a registered Chiropractor practicing in Hermiston, OR. Throughout an active medical career spanning 13 years, Dr. Peterson provided care at the practice location at 1002 W ELM AVE until profile deactivation on 2020-05-04.

Practice Location & Contact Primary Location

Practice Address

1002 W Elm Ave

Hermiston, OR 978382711

Telephone 5415676277
Fax 5415679055
Associated Practice Facility / Clinic
🏢 Kristopher B Peterson, Dc Pc Facility NPI 1437273497

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Hermiston, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.7 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
11 Specialists

Practicing in Hermiston, OR (1950 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 OR 1037

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.

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1073010880

Doctor of Naturopathic Medicine

Dr. Kristopher Peterson , DC

Chiropractor - Internist

NPI 1790810844

Doctor of Chiropractic

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated May 04, 2020

Record deactivated on May 04, 2020

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1002 W ELM AVE, HERMISTON, OR 978382711 (Tel: 5415676277)

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Updated Business Mailing Address July 08, 2007

Registered at PO BOX 211, HERMISTON, OR 978380211 (Tel: 5415676277)

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Provider Name / Credentials Updated July 08, 2007

Recorded as KENNETH PETERSON, DC, ND

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Chiropractor (License #1037 in OR)

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Initial NPI Registration & Enumeration March 18, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1386768265
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 18, 2007
Last Update: July 08, 2007
Deactivation Date: May 04, 2020

Mailing Address

Po Box 211

Hermiston, OR 978380211

Phone: 5415676277

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.