Individual provider Active NPI

Nicholas Peil, D.C.

  • Chiropractor
  • Palm Coast, FL
National Provider Identifier
1831978592
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH14661 Issued in FL
Practice address
1 Hargrove Grade Ste 1H
Palm Coast, FL 32137-5116
Phone
(386) 287-0839
NPI assigned
Sep 22, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH14661 FL Primary

Addresses

Primary practice location

1 Hargrove Grade Ste 1H
Palm Coast, FL 32137-5116

Mailing address

1 Hargrove Grade Ste 1H
Palm Coast, FL 32137-5116
Phone (386) 287-0839

Other practice location 1

3900 Yorktowne Blvd Apt 207
Port Orange, FL 32129-6009
Phone (989) 891-6606

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250414002504 FL Practitioner - Chiropractic 1850815622 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1 Hargrove Grade
Suite 1H
Palm Coast, FL 32137-5116
Phone (386) 287-0839

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH14661FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Inner Balance Chiropractic and Wellness, LLC Chiropractor CurrentSince Mar 25, 2025 Accepting new patients

Locations

1 Hargrove Grade
Ste 1H
Palm Coast, FL 32137
Phone (386) 287-0839

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1695340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1831978592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HARGROVE GRADE STE 1H",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321375116",
            "telephone_number": "386-287-0839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HARGROVE GRADE STE 1H",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321375116",
            "telephone_number": "386-287-0839"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3900 Yorktowne Blvd Apt 207",
            "address_purpose": "LOCATION",
            "city": "Port Orange",
            "state": "FL",
            "postal_code": "321296009",
            "country_code": "US",
            "telephone_number": "989-891-6606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEIL",
        "first_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-22",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH14661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

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