Active NPI
Jeffrey Peacock, L.AC
- Acupuncturist
- Longmont, CO
National Provider Identifier
1245514629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- ACU-1722
- Practice address
- 385 Main St
Unit D
Longmont, CO 80501-5569 - Phone
- (303) 834-9188
- NPI assigned
- Oct 4, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | ACU-1722 | CO | Primary |
Addresses
Primary practice location
385 Main St
Unit D
Longmont, CO 80501-5569
Mailing address
385 Main St
Unit D
Longmont, CO 80501-5569
Phone (303) 834-9188
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ACU-1722 | CO | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347926400000",
"number": "1245514629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "385 MAIN ST",
"address_2": "UNIT D",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805015569",
"telephone_number": "303-834-9188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "385 MAIN ST",
"address_2": "UNIT D",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805015569",
"telephone_number": "303-834-9188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEACOCK",
"first_name": "JEFFREY",
"credential": "L.AC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-04",
"last_updated": "2012-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CO",
"license": "ACU-1722",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Longmont, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.