Preston Phillip Peachee II, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1422 Issued in LA

Practice address

460 Ashley Ridge Blvd
Suite 200
Shreveport, LA 71106-7228

Phone

(318) 865-2225

Fax

(318) 865-2410

NPI assigned

Nov 7, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

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.

• Dimick Family Chiropractic, LLC

  • Chiropractor
  • Indianapolis, IN
  • NPI 1912384868
  NPD
• Michael S. Miller DO, Facos, CWS, PC

  • Surgery Physician
  • Indianapolis, IN
  • NPI 1316072242
  NPD

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194393600000",
    "number": "1457531469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 ASHLEY RIDGE BLVD",
            "address_2": "SUITE 200",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711067228",
            "telephone_number": "318-865-2225",
            "fax_number": "318-865-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 ASHLEY RIDGE BLVD",
            "address_2": "SUITE 200",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711067228",
            "telephone_number": "318-865-2225",
            "fax_number": "318-865-2410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEACHEE",
        "first_name": "PRESTON",
        "middle_name": "PHILLIP",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-07",
        "last_updated": "2007-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Payton, OT, MHS
• Krystal Pea
• Peace of Mind Family and Mental Health Clinic
• Peaceful Alternatives Counseling & Thera
• Peaceful Alternatives Counseling and Therapy, LLC
• Peacock Primary Care, LLC
• Kristyn Alyse Peacock
• Amanda Favret Pearce
• Gail Marita Pearce, P.T.
• Zoe Pearl, MS, LPC

• Chiropractor in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Chiropractor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.