Active NPI
Peak Performance Chiropractic LLC
- Chiropractor
- Maryville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- PEAK PERFORMANCE CHIROPRACTIC LLC
- Practice address
- 62 Executive Plaza CT
Maryville, IL 62062-5822 - Phone
- (618) 650-8062
- NPI assigned
- Jun 11, 2018
- Last updated
- Jun 11, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lindsey Langendorf, DC
- Title
- Owner
- Phone
- (618) 650-8062
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
62 Executive Plaza CT
Maryville, IL 62062-5822
Mailing address
62 Executive Plaza CT
Maryville, IL 62062-5822
Phone (618) 650-8062
National Provider Directory
National Provider DirectoryLocations
62 Executive Plaza Ct
Maryville, IL 62062
Phone (618) 288-1796
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Chiropractor
- Maryville, IL
- NPI 1104348085
-
- Chiropractor
- Maryville, IL
- NPI 1801232756
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528675200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1528675200000",
"number": "1104319482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "62 EXECUTIVE PLAZA CT",
"city": "MARYVILLE",
"state": "IL",
"postal_code": "620625822",
"telephone_number": "618-650-8062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "62 EXECUTIVE PLAZA CT",
"city": "MARYVILLE",
"state": "IL",
"postal_code": "620625822",
"telephone_number": "618-650-8062"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEAK PERFORMANCE CHIROPRACTIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-06-11",
"last_updated": "2018-06-11",
"status": "A",
"authorized_official_last_name": "LANGENDORF",
"authorized_official_first_name": "LINDSEY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "618-650-8062",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maryville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.