Peyton David Brock, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH61605292 Issued in WA

Practice address

4220 A St SE Ste 103
Auburn, WA 98002-8620

Phone

(253) 833-4800

NPI assigned

Jan 22, 2025

Sex

Male

Sole proprietor

Yes

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 WA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Lakeland Family Chiropractic Inc

  • Chiropractor
  • Auburn, WA
  • NPI 1073710505
  Medicare reassignment NPD

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

{
    "created_epoch": "1737504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1891507372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 A ST SE STE 103",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980028620",
            "telephone_number": "253-833-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 A ST SE STE 103",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980028620",
            "telephone_number": "253-833-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCK",
        "first_name": "PEYTON",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-22",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH61605292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gloria Brim
• Kathryn Anne Brisbane, RD
• Helen Brislin-Johnson
• Erika L Broaden
• Alex E Broady, CDPT
• Kristina Brockett, ATC
• Marissa Brooks
• Sunghyun Cho Brooks, MD
• Khoi Brookshire
• Annie K Brown

• Chiropractor in Auburn, WA
• Providers in Auburn, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; 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.