Peak Health and Wellness, P.a.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

CH8704 Issued in FL

Legal business name

PEAK HEALTH AND WELLNESS, P.A.

Practice address

1525 S Alafaya TRL
Suite 102
Orlando, FL 32828-8926

Phone

(321) 236-8452

NPI assigned

Jan 29, 2016

Last updated

Jan 29, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kenneth Thomas Mack, D.C.NPI 1437336641

Title

Doctor

Phone

(321) 236-8452

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kenneth Thomas Mack, D.C.

  • Chiropractor
  • Orlando, FL
  • NPI 1437336641
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1454025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454025600000",
    "number": "1023476504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 S ALAFAYA TRL",
            "address_2": "SUITE 102",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328288926",
            "telephone_number": "321-236-8452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 S ALAFAYA TRL",
            "address_2": "SUITE 102",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328288926",
            "telephone_number": "321-236-8452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK HEALTH AND WELLNESS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-29",
        "last_updated": "2016-01-29",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "321-236-8452",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "CH8704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peace Balance Healing Acupuncture LLC
• Peace for Kids LLC
• Peace of Mind Mental Health, Inc.
• Peace Within: Counseling for Women, LLC.
• Lydia Ruth Peaden, CRNP
• Peak Injury & Orthopedic
• Erin Jean Pearce, ARNP
• Megan Moore Pearce, FNP-C
• Pearl Garcia Staffing
• Pearl Valley Dental Inc (Contemporary Dental Care)

• Clinic/Center in Orlando, FL
• Providers in Orlando, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.