Individual provider Active NPI

Dean Michael Peppard, DC

  • Chiropractor
  • Cypress, CA
National Provider Identifier
1225195704
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
20740 Issued in CA
Practice address
10953 Meridian Dr
Suite O
Cypress, CA 90633-5143
Phone
(714) 821-4265
Fax
(714) 821-9730
NPI assigned
Jan 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 20740 CA Primary

Addresses

Primary practice location

10953 Meridian Dr
Suite O
Cypress, CA 90633-5143

Mailing address

10953 Meridian Dr
Suite O
Cypress, CA 90633-5143
Phone (714) 821-4265

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041216000958 CA Practitioner - Chiropractic 2062479421 Practice locations: Cypress, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 1990
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10953 Meridian Dr
Suite O
Cypress, CA 90630-5143
Phone (714) 821-4265

10953 Meridian Dr O
Cypress, CA 90630-5143

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20740CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Rogers Chiropractic Neurology PC Chiropractor PastSince May 1, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225195704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10953 MERIDIAN DR",
            "address_2": "SUITE O",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906335143",
            "telephone_number": "714-821-4265",
            "fax_number": "714-821-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10953 MERIDIAN DR",
            "address_2": "SUITE O",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906335143",
            "telephone_number": "714-821-4265",
            "fax_number": "714-821-9730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEPPARD",
        "first_name": "DEAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "20740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.