Edward J Peeks, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

621013592 Issued in TN

Practice address

401 N Boone St
Johnson City, TN 37604-5607

Phone

(423) 928-2251

Fax

(423) 928-2002

NPI assigned

Dec 18, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336348800000",
    "number": "1154484665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N BOONE ST",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376045607",
            "telephone_number": "423-928-2251",
            "fax_number": "423-928-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N BOONE ST",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376045607",
            "telephone_number": "423-928-2251",
            "fax_number": "423-928-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEEKS",
        "first_name": "EDWARD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2012-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "621013592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TENNESSEE",
            "identifier": "14254",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Elizabeth Pearson
• Michael Z Pearson, MD
• Rachel Pearson, A-LPC/MHSP
• Brooke Hammond Peccia, MS, CCC-SLP
• Peeks Chiropractic, P.C.
• Robert Vardaman Peets, BCBA
• Joella Audia Peirce
• Stephanie Pelenyi, MD
• Meredith Pellegrini, RD
• Pelvic Health and Healing PLLC

• Chiropractor in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Chiropractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2012; 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.