Organization Active NPI

McPeak Family Chiropractic, LLC

  • Rehabilitation Chiropractor
  • Elkins Park, PA
National Provider Identifier
1821241969
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
DC-003776L Issued in PA
Legal business name
MCPEAK FAMILY CHIROPRACTIC, LLC
Practice address
207 Tulpehocken Ave Rear Office
Elkins Park, PA 19027-1926
Phone
(215) 379-0640
Fax
(215) 379-0561
NPI assigned
Nov 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Gregory Michael McPeak, D.C., C.C.R.D.NPI 1942237029
Title
Chiropractor
Phone
(215) 379-0640

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X DC-003776L PA Primary

Addresses

Primary practice location

207 Tulpehocken Ave Rear Office
Elkins Park, PA 19027-1926

Mailing address

207 Tulpehocken Ave Rear Office
Elkins Park, PA 19027-1926
Phone (215) 379-0640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081211000347 PA Part B Supplier - Clinic/Group Practice 2567523301 Receives reassigned benefits from 1 practitioner
Practice locations: Elkins Park, PA

National Provider Directory

National Provider Directory

Locations

707 Huntingdon Pike
Rockledge, PA 19046
Phone (215) 379-0640

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1225670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709596800000",
    "number": "1821241969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 TULPEHOCKEN AVE REAR OFFICE",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190271926",
            "telephone_number": "215-379-0640",
            "fax_number": "215-379-0561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 TULPEHOCKEN AVE REAR OFFICE",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190271926",
            "telephone_number": "215-379-0640",
            "fax_number": "215-379-0561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCPEAK FAMILY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-03",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A",
        "authorized_official_last_name": "MCPEAK",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "215-379-0640",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., C.C.R.D."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "PA",
            "license": "DC-003776L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkins Park, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.

Verify at the official NPI Registry.