Active NPI
Peyton Thom Lacy, DC
- Chiropractor
- St Petersburg, FL
National Provider Identifier
1629199476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH8228
- Practice address
- 3008 Boca Ciega Dr N
St Petersburg, FL 33710-2834 - Phone
- (727) 430-5790
- NPI assigned
- Apr 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH8228 | FL | Primary |
Addresses
Primary practice location
3008 Boca Ciega Dr N
St Petersburg, FL 33710-2834
Mailing address
3008 Boca Ciega Dr N
St Petersburg, FL 33710-2834
Phone (727) 430-5790
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH8228 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629199476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3008 BOCA CIEGA DR N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337102834",
"telephone_number": "727-430-5790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3008 BOCA CIEGA DR N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337102834",
"telephone_number": "727-430-5790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LACY",
"first_name": "PEYTON",
"middle_name": "THOM",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH8228",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.