Individual provider Active NPI

Fred W Peete Jr., DC

  • Chiropractor
  • Memphis, TN
National Provider Identifier
1265089122
Registry record updated Aug 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3230 Issued in TN
Practice address
3179 Poplar Ave
Memphis, TN 38111-3501
Phone
(901) 221-7173
NPI assigned
Aug 24, 2019
Last updated
Aug 24, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3230 TN Primary

Addresses

Primary practice location

3179 Poplar Ave
Memphis, TN 38111-3501

Mailing address

3615 S Houston Levee Rd Ste 110
Collierville, TN 38017-9173

Other practice location 1

2690 Kirby Whitten Rd 38133
memphis, TN 38133
Phone (901) 221-7173 ext. 3

Other practice location 2

3615 South Houston Leeve Rd
Collierville, TN 38017
Phone (901) 221-7173 ext. 1

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Chiro Place of Collierville PLLC Chiropractor CurrentSince Sep 1, 2019 Accepting new patients
The Chiro Place PLLC Chiropractor PastSince Sep 1, 2019 Accepting new patients
Chiro Place of Bartlett PC Chiropractor PastSince Feb 17, 2019 Accepting new patients

Locations

3615 S Houston Levee Rd
Ste 110
Collierville, TN 38017
Phone (901) 217-7173

2690 Kirby Whitten Rd
Memphis, TN 38133
Phone (901) 221-7173

3179 Poplar Ave
Memphis, TN 38111
Phone (901) 221-7173

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1566604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566604800000",
    "number": "1265089122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3615 S HOUSTON LEVEE RD STE 110",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380179173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3179 POPLAR AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381113501",
            "telephone_number": "901-221-7173"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2690 Kirby Whitten Rd 38133",
            "address_purpose": "LOCATION",
            "city": "memphis",
            "state": "TN",
            "postal_code": "38133",
            "country_code": "US",
            "telephone_number": "901-221-7173 x3",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3615 South Houston Leeve Rd",
            "address_purpose": "LOCATION",
            "city": "Collierville",
            "state": "TN",
            "postal_code": "38017",
            "country_code": "US",
            "telephone_number": "901-221-7173 x1",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEETE",
        "first_name": "FRED",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-24",
        "last_updated": "2019-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "3230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2019; 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.