Individual provider Active NPI

Gregory Michael McPeak, D.C., C.C.R.D.

  • Occupational Health Chiropractor
  • Elkins Park, PA
National Provider Identifier
1942237029
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Health ChiropractorTaxonomy code 111NX0100X
License
DC 003776-L Issued in PA
Practice address
207 Tulpehocken Ave Rear Office
Elkins Park, PA 19027-1926
Phone
(215) 379-0640
Fax
(215) 379-0561
NPI assigned
Jun 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Health Chiropractor 111NX0100X DC 003776-L PA Primary

Addresses

Primary practice location

207 Tulpehocken Ave Rear Office
Elkins Park, PA 19027-1926

Mailing address

207 Tulpehocken Ave Rear Office
Elkins Park, PA 19027-1926
Phone (215) 379-0640

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071126000593 PA Practitioner - Chiropractic 3274621305 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

207 Tulpehocken Ave
Rear Office
Elkins Park, PA 19027-1926
Phone (215) 379-0640

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC 003776-LPAMDOccupational Health Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
McPeak Family Chiropractic, LLC CurrentSince May 1, 2001 Accepting new patients

Locations

707 Huntingdon Pike
Rockledge, PA 19046
Phone (215) 379-0640

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": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1942237029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 TULPEHOCKEN AVE REAR OFFICE",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190271926",
            "telephone_number": "215-379-0640",
            "fax_number": "215-379-0561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 TULPEHOCKEN AVE REAR OFFICE",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190271926",
            "telephone_number": "215-379-0640",
            "fax_number": "215-379-0561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCPEAK",
        "first_name": "GREGORY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C., C.C.R.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0100X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Occupational Health",
            "state": "PA",
            "license": "DC 003776-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkins Park, PA

Sources for this page

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