Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Dr. Jack T Peterson Jr., MD

Specialist in Topeka, KS · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1508860487

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Registry record

Entity type Individual (Type 1)

Name Dr. Jack T Peterson Jr.

Credential MD

Sex Male

Practice address Topeka, KS, 66606

Phone (785) 234-9000

Fax (785) 234-9119

Enumeration date Jun 9, 2005

Last updated in NPPES Apr 24, 2012

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

174400000X Specialist Other Service Providers · License 0422259 (KS) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
240007246	Other	KS	RAILROAD MEDICARE
100516	Other	KS	BLUE CROSS
100144860B	Medicaid	KS	-
628770	Other	KS	FIRST GUARD
481191346	Other	KS	TAX ID

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is NPI 1508860487 active?

Yes, as of the latest NPPES snapshot, NPI 1508860487 is active (record last updated 2012-04-24).

How do I verify Jack Peterson's NPI record?

Cross-check NPI 1508860487 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-04-24.