Timothy a Peck DC PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

TIMOTHY A PECK DC PC

Practice address

2934 Point Mallard Pkwy SE # B2
Decatur, AL 35603-5700

Phone

(256) 584-9554

Fax

(256) 253-5502

NPI assigned

Jan 7, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Timothy A Peck, DCNPI 1609835289

Title

President/Owner

Phone

(618) 977-5419

Specialties & licenses 1

Addresses

Other names 1

• Year Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 1

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

• Timothy Peck, DC

  • Chiropractor
  • Decatur, AL
  • NPI 1609835289
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1546819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674000000000",
    "number": "1891268439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14608 WATERVIEW LN",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356131606",
            "telephone_number": "618-977-5419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2934 POINT MALLARD PKWY SE # B2",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356035700",
            "telephone_number": "256-584-9554",
            "fax_number": "256-253-5502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY A PECK DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-07",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A",
        "authorized_official_last_name": "PECK",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "618-977-5419",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Year",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Year",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heather Thrasher, BS
• James Richard Throneberry, D.M.D.
• Zariah Tiggs
• McKenzie Brook Tillman, RBT
• Koneisha Marie Timmons, LPC
• Timothy P. Weirich, M.D., P.C.
• Trees of Life Agency
• Truss Behavioral Health, LLC
• TSR Group Home LLC
• Tiara S Turner, BSW

• Chiropractor in Decatur, AL
• Providers in Decatur, AL by specialty
• Chiropractor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; 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.