Active NPI
John W Peck, DC
- Chiropractor
- Redding, CA
National Provider Identifier
1720066954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC28417
- Practice address
- 1201 Industrial St
Redding, CA 96002-0757 - Phone
- (530) 229-5000
- NPI assigned
- Jan 6, 2006
- Last updated
- Aug 14, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC28417 | CA | Primary |
| Chiropractor | 111N00000X | DC0284170 | CA |
Addresses
Primary practice location
1201 Industrial St
Redding, CA 96002-0757
Mailing address
1201 Industrial St
Redding, CA 96002-0757
Phone (530) 229-5000
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1042817 | Other | ASAP | |
| DC0284170 | Medicaid | CA | |
| 1042817 | Other | UNITED HEALTHCARE | |
| 104377600 | Other | FEDERAL WORK COMP | |
| DC0284170 | Other | BLUE SHIELD | |
| 1042817 | Other | CIGNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080411000402 | CA | Practitioner - Chiropractic | 3173600327 | Practice locations: Redding, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28417 | CA | MD | Marriage & Family Therapist |
| DC0284170 | CA | MD | Chiropractor |
| DC28417 | CA | MD | Chiropractor |
Interoperability endpoints
- john.peckdc.p1@direct.schc.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786665600000",
"number": "1720066954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 INDUSTRIAL ST",
"city": "REDDING",
"state": "CA",
"postal_code": "960020757",
"telephone_number": "530-229-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 INDUSTRIAL ST",
"city": "REDDING",
"state": "CA",
"postal_code": "960020757",
"telephone_number": "530-229-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PECK",
"first_name": "JOHN",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-06",
"last_updated": "2026-08-14",
"certification_date": "2026-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC28417",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC0284170",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASAP",
"identifier": "1042817",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DC0284170",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1042817",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL WORK COMP",
"identifier": "104377600",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "DC0284170",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1042817",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; 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.