Matthew Joel Peacock, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301010287 Issued in MI

Practice address

4266 State St
Saginaw, MI 48603-4035

Phone

(989) 792-6702

Fax

(989) 729-1128

NPI assigned

Jan 20, 2015

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

Sherman College of Straight Chiropractic, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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.

• Peacock Family Chiropractic, PLLC

  • Chiropractor
  • Rogers City, MI
  • NPI 1780049528
  Medicare reassignment NPD Authorized official
• Russell a Fairbanks, D.C.,P.C.

  • Chiropractor
  • Rogers City, MI
  • NPI 1043527195
  NPD (past)

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

{
    "created_epoch": "1421712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453248000000",
    "number": "1790174456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 N 3RD ST",
            "city": "ROGERS CITY",
            "state": "MI",
            "postal_code": "497791309",
            "telephone_number": "989-734-3384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4266 STATE ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486034035",
            "telephone_number": "989-792-6702",
            "fax_number": "989-729-1128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEACOCK",
        "first_name": "MATTHEW",
        "middle_name": "JOEL",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-20",
        "last_updated": "2016-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Payne
• Nicholas Payne
• Sharonna Paulette Paynehassan
• Prathima Peachera, D.P.T
• Srikanth Peachera
• Kali Peake
• Alexis Anne Pearce
• Pearls of Wisdom Doula Services L3C
• Sarah R Pearsall, CPSS
• Gerred Douglas Pease, LMSW, CAADC

• Chiropractor in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; 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.