Organization Active NPI

Peak Performance Chiropractic, LLC

  • Clinic/Center
  • Menands, NY
National Provider Identifier
1881745362
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
X0094561 Issued in NY
Legal business name
PEAK PERFORMANCE CHIROPRACTIC, LLC
Practice address
319 Broadway
Menands, NY 12204
Phone
(518) 472-9130
Fax
(518) 472-9351
NPI assigned
Jan 13, 2007
Last updated
Mar 16, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Authorized official

Name
Mr. Eric Luper, DCNPI 1205857059
Title
Member/Owner
Phone
(518) 472-9130

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
Clinic/Center 261Q00000X X0094561 NY Primary

Addresses

Primary practice location

319 Broadway
Menands, NY 12204

Mailing address

319 Broadway
Menands, NY 12204
Phone (518) 472-9130

National Provider Directory

National Provider Directory

Locations

350 Northern Blvd
Ste 103
Albany, NY 12204
Phone (518) 472-9130

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615852800000",
    "number": "1881745362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 BROADWAY",
            "city": "MENANDS",
            "state": "NY",
            "postal_code": "12204",
            "telephone_number": "518-472-9130",
            "fax_number": "518-472-9351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 BROADWAY",
            "city": "MENANDS",
            "state": "NY",
            "postal_code": "12204",
            "telephone_number": "518-472-9130",
            "fax_number": "518-472-9351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK PERFORMANCE CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-13",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A",
        "authorized_official_last_name": "LUPER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "518-472-9130",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "X0094561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menands, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.