Organization Active NPI

Peak Chiropractic Care, LLC

  • Chiropractor
  • Jackson, MS
National Provider Identifier
1952835613
Registry record updated Apr 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1238 Issued in MS
Legal business name
PEAK CHIROPRACTIC CARE, LLC
Practice address
4915 I-55 North
Suite 201B
Jackson, MS 39206
Phone
(769) 216-3245
Fax
(769) 216-3276
NPI assigned
Apr 19, 2017
Last updated
Apr 19, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2017

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

Authorized official

Name
Dr. Jeffrey Peck, D.C.
Title
Owner
Phone
(769) 216-3245

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 1238 MS Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 1236 MS

Addresses

Primary practice location

4915 I-55 North
Suite 201B
Jackson, MS 39206

Mailing address

4915 I-55 North
Suite 201B
Jackson, MS 39206
Phone (769) 216-3245

National Provider Directory

National Provider Directory

Locations

4915 I 55 N
Ste 201B
Jackson, MS 39206
Phone (769) 216-3245

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1492560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492560000000",
    "number": "1952835613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4915 I-55 NORTH",
            "address_2": "SUITE 201B",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39206",
            "telephone_number": "769-216-3245",
            "fax_number": "769-216-3276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4915 I-55 NORTH",
            "address_2": "SUITE 201B",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39206",
            "telephone_number": "769-216-3245",
            "fax_number": "769-216-3276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK CHIROPRACTIC CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-19",
        "last_updated": "2017-04-19",
        "status": "A",
        "authorized_official_last_name": "PECK",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "769-216-3245",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "1238",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "1236",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.