DR. SHANNON PEACOCK DC
NPI 1952811895
Chiropractor in Tahoe City, CA

Active since October 05, 2017
645 WEST LAKE BLVD. #3, PO BOX 7526, TAHOE CITY, CA 96145(530) 583-7475(530) 583-7477 Get Directions Write a Review

NPPES record last updated: May 31, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Shannon Peacock Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SHANNON PEACOCK DC (NPI 1952811895) is an individual chiropractor in Tahoe City, California, licensed in California (34034) and active in the NPI registry since October 2017.

NPPES Registry Identity

NPI1952811895
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. SHANNON PEACOCKCredential: DC
Location Address645 WEST LAKE BLVD. #3, PO BOX 7526Tahoe City, CA 96145-7526
Mailing AddressPo Box 492Truckee, CA 96160 · (530) 448-6124
Fax(530) 583-7477
Sole ProprietorYes
Enumeration DateOctober 5, 2017
Last NPPES UpdateMay 31, 2018
NPI 1952811895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in CA · 34034
Definition
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.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Peacock's NPI number?

The NPI number for Shannon Peacock is 1952811895. It was assigned to this individual provider in the NPPES registry on October 5, 2017.

Where is Shannon Peacock located?

Shannon Peacock practices at 645 West Lake Blvd. #3 PO Box 7526, Tahoe City, CA 96145. The listed phone number is (530) 583-7475.

What is Shannon Peacock's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Shannon Peacock was last updated on May 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.