Boyd Peterson, DC
Boyd Peterson, DC is a provider specialising in Orthopedic Chiropractor in Milwaukee, WI, registered under NPI 1417901422. This provider registers 3 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 1155 N MAYFAIR RD SPINE CARE CLINIC AT PLANK ROAD, Milwaukee, WI 53226. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 2800 | WI | Orthopedic Chiropractor primary |
| 2800 | WI | Chiropractor |
| 2800 | WI | Sports Physician Chiropractor |
This provider holds licence 2800 issued in WI. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Chiropractic
- PAC ID
- 9537177423
- Enrollment ID
- I20060404000586
Medicare enrolment is recorded as approved under the provider type Practitioner - Chiropractic. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Orthopedic covers
Chiropractic Orthopedics/Neuromusculoskeletal Medicine is defined as that branch of chiropractic medicine that includes the continued acquisition of knowledge relative to both normal functions and diseases of the human body as they relate to the bones, joints, capsules, discs, muscles, ligaments, tendons, their complete neurological and vascular components, referred organ systems and contiguous tissues. This also includes the development and perfection of skills relative to health maintenance when such exists and when not, the investigations, historical review, physical detection, correlative diagnosis development and complete management of any disorder within the bounds defined herein. Also necessary is the delivery of the combined knowledge and skill on a primary basis to patients who both need and desire this service to the eventual outcome of remissions, whenever resolution is not readily achievable. In addition the certified chiropractic orthopedist/neuromusculoskeletal medicine specialist provides consultation services at the request of other qualified doctors seeking assistance in the care of their patients. The chiropractic orthopedist/neuromusculoskeletal medicine specialist may also engage in the teaching and or research of subjects and materials relevant to pursuing the quest for knowledge in the ever changing field of the orthopedic specialty. NUCC Health Care Provider Taxonomy, code 111NX0800X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 111NX0800X | Orthopedic Chiropractor Orthopedic | 2800 | WI | primary |
| 111N00000X | Chiropractor | 2800 | WI | |
| 111NS0005X | Sports Physician Chiropractor Sports Physician | 2800 | WI |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1417901422 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | May 22, 2006 |
| Last updated | Jan 14, 2026 |
| Status | Active |
| Sole proprietor | No |
| Credential | DC |
| Practice address |
1155 N MAYFAIR RD SPINE CARE CLINIC AT PLANK ROAD Milwaukee, WI 53226 (414) 955-7199 Fax (414) 955-0110 |
| Other identifiers |
007000261F
· Other 1417901422 · Medicaid (WI) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 4 | 1 | 7 | 9 | 0 | 1 | 4 | 2 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 4 | 2 | 7 | 9 | 0 | 2 | 4 | 4 |
Sum = 58 · next multiple of 10 = 60 · check digit = 2 · actual last digit = 2
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.