Peak Performance Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104556394 Issued in VA

Legal business name

PEAK PERFORMANCE CHIROPRACTIC INC

Practice address

1999 S Main St
Suite 305-a
Blacksburg, VA 24060-6634

Phone

(540) 552-3671

Fax

(540) 552-3741

NPI assigned

Aug 28, 2006

Last updated

Jun 17, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Todd Hicks, D.C.NPI 1245298439

Title

President

Phone

(540) 552-3671

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kenneth Todd Hicks, D.C.

  • Chiropractor
  • Blacksburg, VA
  • NPI 1245298439
  NPD (past) Authorized official

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1235247420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1999 S MAIN ST",
            "address_2": "SUITE 305-A",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240606634",
            "telephone_number": "540-552-3671",
            "fax_number": "540-552-3741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1999 S MAIN ST",
            "address_2": "SUITE 305-A",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240606634",
            "telephone_number": "540-552-3671",
            "fax_number": "540-552-3741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK PERFORMANCE CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-552-3671",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Carlie B Perry, OD

• Chiropractor in Blacksburg, VA
• Providers in Blacksburg, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.