Peck Chiropractic & Rehabilitation Clinic PA

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

4808 Issued in TX

Legal business name

PECK CHIROPRACTIC & REHABILITATION CLINIC PA

Practice address

1530 Avenue O
Huntsville, TX 77340-4452

Phone

(936) 291-2627

Fax

(936) 291-3752

NPI assigned

Jan 11, 2007

Last updated

Jun 14, 2011By 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

Michael J Peck, DCNPI 1881629806

Title

President

Phone

(936) 261-2627

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Michael J Peck, D.C.

  • Chiropractor
  • Huntsville, TX
  • NPI 1881629806
  Authorized official Same address or phone

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308009600000",
    "number": "1356491310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 AVENUE O",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773404452",
            "telephone_number": "936-291-2627",
            "fax_number": "936-291-3752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 AVENUE O",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773404452",
            "telephone_number": "936-291-2627",
            "fax_number": "936-291-3752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PECK CHIROPRACTIC & REHABILITATION CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2011-06-14",
        "status": "A",
        "authorized_official_last_name": "PECK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "936-261-2627",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "TX",
            "license": "4808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "601995",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarin M. Patel, PHARMD
• Sonal Arvind Patel, MD
• Patriotic Home Health, Inc.
• Paul Steven Black O.D. P.a.
• Paul Steven Black, O.D.
• Michael J Peck, D.C.
• Justin Pedigo, PHARMD
• Hillary J Peebles, PHARMD
• Jonathan Edmond Pepper, M.D.
• Belinda Ann Perez-Hernandez

• Rehabilitation Chiropractor in Huntsville, TX
• Providers in Huntsville, TX by specialty
• Rehabilitation Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2011; 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.