Justin Scott Peasley, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301010169 Issued in MI

Practice address

442 Century LN
Suite 200
Holland, MI 49423-4294

Phone

(864) 908-8480

NPI assigned

Feb 14, 2014

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

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2013

Medicare assignment

May accept Medicare assignment

Group practices

Peasley Brothers Chiropractic PCGroup PAC ID 8022337377, 2 clinicians

Practice addresses (Care Compare)

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.

• Peasley Brothers Chiropractic PC

  • Chiropractor
  • Holland, MI
  • NPI 1386068948
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1392336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392681600000",
    "number": "1790109536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "442 CENTURY LN",
            "address_2": "SUITE 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": "442 CENTURY LN",
            "address_2": "SUITE 200",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494234294",
            "telephone_number": "864-908-8480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEASLEY",
        "first_name": "JUSTIN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-14",
        "last_updated": "2014-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Baer & Associates, PLLC
• Pauls Pharmacy Inc
• Erica Pearson, PHD, LPC, ACS, NCC
• Peasley Brothers Chiropractic PC
• Andrew Peasley, D.C.
• Justin Pedersen, DPT
• Jamie Lee Pelishek
• Monica Lee Pelletier, OTRL
• Sally Beth Pelon, LMSW
• Stacy Pelon, M.A., CCC-SLP

• 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 Feb 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.