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Deactivated NPI 1659408649 Deactivated / Inactive NPI Male Practitioner

Dr. Douglas G Peterson , DC

Chiropractor • Oshkosh, WI

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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. Douglas Peterson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 27, 2007
NPI Deactivation Date September 11, 2025
Total Practice Duration ~18 Years of Practice (2007 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Douglas Peterson, DC was a registered Chiropractor practicing in Oshkosh, WI. Throughout an active medical career spanning 18 years, Dr. Peterson provided care at the practice location at 1765 TAFT AVE until profile deactivation on 2025-09-11.

Practice Location & Contact Primary Location

Practice Address

1765 Taft Ave

Oshkosh, WI 549023220

Telephone 9202337744
Fax 9202337891
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Oshkosh, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.6 Yrs
State Avg: 22.4 Yrs
Regional Practice Density
28 Specialists

Practicing in Oshkosh, WI (2664 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 WI 1804

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.

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 September 11, 2025

Record deactivated on September 11, 2025

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 1765 TAFT AVE, OSHKOSH, WI 549023220 (Tel: 9202337744)

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Updated Business Mailing Address July 08, 2007

Registered at 1765 TAFT AVE, OSHKOSH, WI 549023220 (Tel: 9202337744)

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Provider Name / Credentials Updated July 08, 2007

Recorded as DOUGLAS PETERSON, D. C.

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

Chiropractor (License #1804 in WI)

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Initial NPI Registration & Enumeration February 27, 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: 1659408649
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 27, 2007
Last Update: July 08, 2007
Deactivation Date: September 11, 2025

Mailing Address

1765 Taft Ave

Oshkosh, WI 549023220

Phone: 9202337744

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.