Individual provider Active NPI

Sean Peck, DC

  • Chiropractor
  • Indianapolis, IN
National Provider Identifier
1225909567
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08003578A Issued in IN
Practice address
3820 N High School Rd
Indianapolis, IN 46254-2709
Phone
(317) 299-3330
Fax
(317) 299-0404
NPI assigned
Sep 17, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038.014359 IL
Chiropractor 111N00000X 08003578A IN Primary

Addresses

Primary practice location

3820 N High School Rd
Indianapolis, IN 46254-2709

Mailing address

3820 N High School Rd
Indianapolis, IN 46254-2709
Phone (309) 343-2117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20251121002064 IL Practitioner - Chiropractic 1254823065
I20260615001481 IN Practitioner - Chiropractic 1254823065 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

17722 Sanibel Cir
Westfield, IN 46062-7637

3305 56TH St
Moline, IL 61265-5747

3820 N High School Rd
Indianapolis, IN 46254-2709

777 N Henderson St
Galesburg, IL 61401-2515

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038.014359ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Peck Shulk Chiropractic, PLLC Chiropractor CurrentSince Oct 13, 2025 Accepting new patients
Eagle Creek Chiropractic, PC Chiropractor CurrentSince May 4, 2026 Accepting new patients

Locations

777 N Henderson St
Galesburg, IL 61401
Phone (309) 343-2117

3820 N High School Rd
Indianapolis, IN 46254
Phone (317) 299-3330

Organizations & group practices 2

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": "1758067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1225909567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 N HIGH SCHOOL RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462542709",
            "telephone_number": "309-343-2117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3820 N HIGH SCHOOL RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462542709",
            "telephone_number": "317-299-3330",
            "fax_number": "317-299-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECK",
        "first_name": "SEAN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-17",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.014359",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08003578A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; 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.