Peak Family Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

PEAK FAMILY CHIROPRACTIC LLC

Practice address

1935 E Bijou St
Colorado Springs, CO 80909-5816

Phone

(719) 475-8877

Fax

(719) 578-0071

NPI assigned

Dec 1, 2020

Organization subpart

No

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

Authorized official

Name

Dylan Michael Clarke, DCNPI 1487018644

Title

Owner, Doctor, Manager

Phone

(719) 475-8877

Specialties & licenses 1

Addresses

Other names 1

• Peak Family Chiropractic LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dylan Michael Clarke, DC

  • Chiropractor
  • Colorado Springs, CO
  • NPI 1487018644
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606780800000",
    "number": "1164027967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 E BIJOU ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809095816",
            "telephone_number": "719-475-8877",
            "fax_number": "719-578-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 E BIJOU ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809095816",
            "telephone_number": "719-475-8877",
            "fax_number": "719-578-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-01",
        "last_updated": "2020-12-01",
        "certification_date": "2020-11-11",
        "status": "A",
        "authorized_official_last_name": "CLARKE",
        "authorized_official_first_name": "DYLAN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER, DOCTOR, MANAGER",
        "authorized_official_telephone_number": "719-475-8877",
        "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": [
        {
            "organization_name": "Peak Family Chiropractic LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Peak Balance Family Wellness PLLC
• Peak Behavior Solutions
• Peak Brain Performance Centers
• Peak Endodontics, P.C.
• Peak Family Care
• Peak Family Transport LLC
• Peak Forensic Psych Services
• Peak Gastroenterology Associates
• Peak Gastroenterology Associates PC
• Peak Gastroenterology Associates PC

• All providers in Colorado Springs, CO
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.