Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1376542480 Deactivated / Inactive NPI Male Practitioner

Dr. Anthony W Peck , DC

Chiropractor • O Fallon, IL

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Anthony Peck has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 20, 2005
NPI Deactivation Date March 20, 2006
Total Practice Duration ~1 Years of Practice (2005 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Anthony Peck, DC was a registered Chiropractor practicing in O Fallon, IL. Throughout an active medical career spanning 1 years, Dr. Peck provided care at the practice location at 1601 W US HIGHWAY 50 until profile deactivation on 2006-03-20.

Practice Location & Contact Primary Location

Practice Address

1601 W Us Highway 50

O Fallon, IL 622691622

Telephone 6186288882
Fax 6186288856
Associated Practice Facility / Clinic
🏢 Anthony W Peck, D.c. Facility NPI 1457311268

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in O Fallon, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.1 Yrs
State Avg: 23.6 Yrs
Regional Practice Density
35 Specialists

Practicing in O Fallon, IL (4730 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License IL 038-008515

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location November 07, 2013

Registered at 1601 W US HIGHWAY 50, O FALLON, IL 622691622 (Tel: 6186288882)

📍
Updated Business Mailing Address November 07, 2013

Registered at 1601 W US HIGHWAY 50, O FALLON, IL 622691622 (Tel: 6186288882)

👤
Provider Name / Credentials Updated November 07, 2013

Recorded as ANTHONY PECK, DC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 07, 2013

Chiropractor (License #038-008515 in IL)

🔄
NPI Profile Reactivated March 24, 2006

Record officially reactivated for active practice on March 24, 2006

⚠️
NPI Profile Deactivated March 20, 2006

Record deactivated on March 20, 2006

🟢
Initial NPI Registration & Enumeration July 20, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Anthony Peck. Be the first to share your experience!

Sign in to leave a review for Dr. Anthony Peck

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1376542480
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 20, 2005
Last Update: November 07, 2013
Deactivation Date: March 20, 2006
Sole Proprietor: Yes

Mailing Address

1601 W Us Highway 50

O Fallon, IL 622691622

Phone: 6186288882

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.