Jeffrey Michael Peck, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH0006739 Issued in FL

Practice address

3020 Lee Blvd
Suite 11
Lehigh Acres, FL 33971-2438

Phone

(239) 369-9109

Fax

(239) 369-4762

NPI assigned

Jul 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Specific Care Chiropractic Inc

  • Chiropractor
  • Lehigh Acres, FL
  • NPI 1942321997
  Medicare reassignment NPD Authorized official
• A1 Pharmacy Inc.

  • Community/Retail Pharmacy
  • Lehigh Acres, FL
  • NPI 1336672427
  NPD (past)
• Family Foot and Leg Center PA

  • Foot & Ankle Surgery Podiatrist
  • Naples, FL
  • NPI 1457222440
  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317945600000",
    "number": "1922014075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 506",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "33970",
            "telephone_number": "239-369-9109",
            "fax_number": "239-369-4762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 LEE BLVD",
            "address_2": "SUITE 11",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339712438",
            "telephone_number": "239-369-9109",
            "fax_number": "239-369-4762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECK",
        "first_name": "JEFFREY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2011-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0006739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "380583200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Paul
• Susan Paulhamus, FNP
• Yanely Paz Gutierrez
• Peak Performance Chiropractic
• Brittany Taylor Peck, D.C.
• Erik Shane Pecore, PT ATC
• Pediatric Centers of Lee County
• Nickalea Pedley
• Elizabeth Pedregal, M.ED
• Daylin De la Caridad Pedrero Gonzalez

• Chiropractor in Lehigh Acres, FL
• Providers in Lehigh Acres, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2011; 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.