Organization Active NPI

Peak Chiropractic

Doing business as Peak Chiropractic and Functional Wellness

  • Chiropractor
  • Raleigh, NC
National Provider Identifier
1417405101
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4646 Issued in NC
Legal business name
PEAK CHIROPRACTIC
Doing business as
Peak Chiropractic and Functional Wellness
Practice address
3948 Browning PL Ste 110
Raleigh, NC 27609-6512
Phone
(919) 699-8184
Fax
(919) 480-2757
NPI assigned
Sep 12, 2016
Last updated
Dec 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Authorized official

Name
Clint Sellers, D.C.
Title
Owner
Phone
(919) 699-8184

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4646 NC Primary

Addresses

Primary practice location

3948 Browning PL Ste 110
Raleigh, NC 27609-6512

Mailing address

3948 Browning PL Ste 110
Raleigh, NC 27609-6512
Phone (919) 699-8184

Other names 1

  • Peak Chiropractic and Functional Wellness Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191231002095 NC Part B Supplier - Clinic/Group Practice 9032543939 Receives reassigned benefits from 3 practitioners
Practice locations: Raleigh, NC

National Provider Directory

National Provider Directory

Locations

211 E Six Forks Rd
Ste 207
Raleigh, NC 27609
Phone (919) 699-8184

3948 Browning Pl
Ste 110
Raleigh, NC 27609
Phone (919) 438-0980

900 E Six Forks Rd
Ste 108
Raleigh, NC 27604

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1473638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1417405101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3948 BROWNING PL STE 110",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096512",
            "telephone_number": "919-699-8184",
            "fax_number": "919-480-2757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3948 BROWNING PL STE 110",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096512",
            "telephone_number": "919-699-8184",
            "fax_number": "919-480-2757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-12",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A",
        "authorized_official_last_name": "SELLERS",
        "authorized_official_first_name": "CLINT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-699-8184",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peak Chiropractic and Functional Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Peak Chiropractic and Functional Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.