Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael John Peterson, DC

Individual provider Chiropractor · NPI 1053159640

Michael John Peterson, DC is a Chiropractic in Brandon, South Dakota. Qualified in 2024, 2 years ago. Licensed in South Dakota.

Years since qualifying
2
Licensed in
SD
In the registry since
2024
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

125 E Holly Blvd
Brandon, SD 57005
Phone: (605) 582-8800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 1485 (SD)

Record details

NPI number1053159640
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedJuly 17, 2024
Last updated in NPPESJuly 17, 2024
Certification dateJuly 10, 2024
Mailing address5413 S Seville Pl, Sioux Falls, SD 57108-7572

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated

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