Peasley Brothers Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301010169 Issued in MI

Legal business name

PEASLEY BROTHERS CHIROPRACTIC PC

Practice address

436 Century Lane
Holland, MI 49423-4294

Phone

(864) 908-8480

NPI assigned

Feb 18, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Justin Scott Peasley, D.C.NPI 1790109536

Title

Owner

Phone

(864) 908-8480

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Justin Scott Peasley, D.C.

  • Chiropractor
  • Holland, MI
  • NPI 1790109536
  Medicare reassignment Care Compare group NPD Authorized official
• Andrew Peasley, D.C.

  • Chiropractor
  • Holland, MI
  • NPI 1508243056
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1392681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428883200000",
    "number": "1386068948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "442 CENTURY LN STE 200",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494234294",
            "telephone_number": "864-908-8480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 CENTURY LANE",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494234294",
            "telephone_number": "864-908-8480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEASLEY BROTHERS CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-18",
        "last_updated": "2015-04-13",
        "status": "A",
        "authorized_official_last_name": "PEASLEY",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-908-8480",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pathways, Mi
• Patient One Care PLLC
• Patricia Baer & Associates, PLLC
• Pauls Pharmacy Inc
• Erica Pearson, PHD, LPC, ACS, NCC
• Andrew Peasley, D.C.
• Justin Scott Peasley, D.C.
• Justin Pedersen, DPT
• Jamie Lee Pelishek
• Monica Lee Pelletier, OTRL

• Chiropractor in Holland, MI
• Providers in Holland, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.