DR. KYLE PEACOCK (NPI# 1942621743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942621743 |
| Entity Type | Individual |
| Full Name | DR. KYLE PEACOCK |
| Credential | D.C. |
| Practice Address |
11773 Commercial Dr Fishers IN 46038-2904 |
| Mailing Address |
305 Virginia St Fortville IN 46040-1069 |
| Practice Telephone | 3177524297 |
| Mailing Telephone | 3177524297 |
| Enumeration Date | 2013-12-20 |
| Last Update Date | 2013-12-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 08002740A | IN | Chiropractic Providers |
| Street Address |
11773 COMMERCIAL DR |
| City | FISHERS |
| State | IN |
| Zip Code | 46038-2904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396166880 | Peacock Family Chiropractic LLC | Chiropractor | 11773 Commercial Dr, Fishers, IN 46038-2904 | 2013-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619447976 | Pratima Shrestha | Nurse Practitioner | 11680 Commercial Dr Ste 200, Fishers, IN 46038 | 2018-11-29 |
| 1295242782 | Monica Hengge | Counselor | 11650 Lantern Rd Ste 128, Fishers, IN 46038 | 2018-01-05 |
| 1912437146 | Aaron Justin Tai | Optometrist | 10967 Allisonville Rd Ste 120, Fishers, IN 46038 | 2017-06-20 |
| 1124411657 | Amy K Parris | Social Worker | 11650 N. Lantern Road, Suite 232, Fishers, IN 46038 | 2015-03-09 |
| 1174948202 | New Roots Behavior Strategies LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 13448 Fulton Drive, Fishers, IN 46038 | 2014-02-26 |
| 1306195292 | Planned Parenthood of Indiana Fishers | Clinic/Center | 8937 Technology Drive, Fishers, IN 46038 | 2012-09-06 |
| 1720336647 | Heather Jo Handley | Physical Therapist | 11650 N. Lantern Road, Suite 235, Fishers, IN 46038 | 2012-08-27 |
| 1770866287 | Kristin Nicole Eckerle | Pharmacist | 13962 Boulder Canyon Drive, Fishers, IN 46038 | 2011-09-21 |
| 1518267830 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 10312 Allisonville Rd, Fishers, IN 46038 | 2010-11-02 |
| 1316195316 | Barbara Elizabeth Rucker | Psychologist | 13179 Huff Blvd, Fishers, IN 46038 | 2008-09-03 |
| Find all providers in zip 46038 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699381525 | Excellence Chiropractic & Wellness | Chiropractor | 10298 E 96th St, Fishers, IN 46037-9497 | 2020-09-16 |
| 1235754797 | Michael Mackenzie Gearheart | Chiropractor | 13991 Avalon East Dr, Fishers, IN 46037-6211 | 2020-06-10 |
| 1982224473 | Chiro One Wellness Center of Fishers LLC | Chiropractor | 11670 Commercial Dr Ste 300, Fishers, IN 46038-2925 | 2020-04-24 |
| 1043865710 | Taylor Ann Helms | Chiropractor | 11580 Overlook Dr Ste 200, Fishers, IN 46037-4221 | 2019-08-08 |
| 1629591979 | Life Refined Chiropractic, LLC | Chiropractor | 14214 Valley Crest Ct, Fishers, IN 46040 | 2017-07-19 |
| 1932636263 | Ian Steele Boone | Chiropractor | 11876 Olio Rd Ste 500, Fishers, IN 46037-9772 | 2017-05-17 |
| 1942656608 | Scott Minton | Chiropractor | 11852 Allisonville Rd, Fishers, IN 46038-2312 | 2016-05-11 |
| 1164853727 | Kathleen Wiemold | Chiropractor | 10126 Brooks School Rd, Fishers, IN 46037-9575 | 2013-12-09 |
| 1740525658 | Bell Chiropractic Center P.C. | Chiropractor | 10412 Allisonville Rd., Suite 203, Fishers, IN 46038-2030 | 2012-12-04 |
| 1538449483 | Paul Phipps | Chiropractor | 10896 Hamilton Pass, Fishers, IN 46037-9494 | 2011-08-24 |
| Find all providers in FISHERS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.