Active NPI
Specific Care Chiropractic Inc
- Chiropractor
- Lehigh Acres, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH0006739
- Legal business name
- SPECIFIC CARE CHIROPRACTIC INC
- Practice address
- 1169 Homestead Rd N
Lehigh Acres, FL 33936-6040 - Phone
- (239) 369-9109
- Fax
- (239) 369-4762
- NPI assigned
- Apr 3, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jeffrey Michael Peck, D.C.
- Title
- Doctor
- Phone
- (239) 369-9109
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH0006739 | FL | Primary |
Addresses
Primary practice location
1169 Homestead Rd N
Lehigh Acres, FL 33936-6040
Mailing address
1169 Homestead Rd N
Lehigh Acres, FL 33936-6040
Phone (239) 369-9109
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 380583200 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
461 Del Prado Blvd S
Ste C
Cape Coral, FL 33990
Phone (239) 800-4149
1700 N University Dr
Ste 300301
Coral Springs, FL 33071
Phone (954) 688-9919
3949 Evans Ave
Ste 406
Fort Myers, FL 33901
Phone (239) 288-7274
403 Joan Ave N
Lehigh Acres, FL 33971
Phone (239) 369-9101
Practitioners & affiliated clinicians
Practitioners 12
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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- Lehigh Acres, FL
- NPI 1386696771
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- NPI 1629780580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1942321997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1169 HOMESTEAD RD N",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "339366040",
"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": "1169 HOMESTEAD RD N",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "339366040",
"telephone_number": "239-369-9109",
"fax_number": "239-369-4762"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPECIFIC CARE CHIROPRACTIC INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-03",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PECK",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "239-369-9109",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "FL",
"license": "CH0006739",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "380583200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lehigh Acres, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.