Chad Peckels, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3944 Issued in MN

Practice address

5000 W 36TH St Ste 120
Minneapolis, MN 55416-2758

Phone

(612) 922-8100

NPI assigned

Oct 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2000

Medicare assignment

May accept Medicare assignment

Group practices

Lake Pointe Chiropractic CentreGroup PAC ID 2163410275, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lake Pointe Chiropractic Centre

  dba Lake Pointe Chiropractic & Wellness

  • Chiropractor
  • Minneapolis, MN
  • NPI 1154453892
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255426953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 W 36TH ST STE 120",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554162758",
            "telephone_number": "612-922-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 W 36TH ST STE 120",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554162758",
            "telephone_number": "612-922-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECKELS",
        "first_name": "CHAD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARAZ",
            "identifier": "1095661",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "75250",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "53D95RE",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "4487419",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Connor Peck, DDS
• Daniel Edwin Peck, M.D.
• Elizabeth Stacey Peck, R.D. L.D.
• Jennifer Lee Peck, RN
• Pamela J Peck, CMT
• Shi Katrena Peckham
• Christopher Pedersen, MD
• Elisabeth Pedersen, NCBTMB, CMT
• Wesley R Pedersen, MD
• Angela Pederson, MT

• Chiropractor in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Chiropractor in Minnesota

• 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.