Organization Active NPI

Naples Community Injury Center, LLC

  • Chiropractor
  • Naples, FL
National Provider Identifier
1205338647
Registry record updated Mar 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0006739 Issued in FL
Legal business name
NAPLES COMMUNITY INJURY CENTER, LLC
Practice address
1660 Medical Blvd Ste 302
Naples, FL 34110-1497
Phone
(239) 631-5445
Fax
(239) 631-5458
NPI assigned
Mar 1, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2018

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

Authorized official

Name
Dr. Jeffrey M. Peck, D.C.
Title
Owner
Phone
(239) 631-5445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH0006739 FL Primary

Addresses

Primary practice location

1660 Medical Blvd Ste 302
Naples, FL 34110-1497

Mailing address

1660 Medical Blvd Ste 302
Naples, FL 34110-1497
Phone (239) 631-5445

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1519862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519862400000",
    "number": "1205338647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 MEDICAL BLVD STE 302",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341101497",
            "telephone_number": "239-631-5445",
            "fax_number": "239-631-5458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 MEDICAL BLVD STE 302",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341101497",
            "telephone_number": "239-631-5445",
            "fax_number": "239-631-5458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAPLES COMMUNITY INJURY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-01",
        "last_updated": "2018-03-01",
        "status": "A",
        "authorized_official_last_name": "PECK",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-631-5445",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0006739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.

Verify at the official NPI Registry.