DR. SHANNON PEACOCK DC NPI 1952811895

NPI Information

  • NPI: 1952811895
  • Provider Name: DR. SHANNON PEACOCK, DC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Individual
  • Address: 645 WEST LAKE BLVD. #3
    PO BOX 7526
    TAHOE CITY, CA
    ZIP 96145
  • Phone: (530) 583-7475

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NPI Details

DR. Shannon Peacock, DC is a chiropractor in Tahoe City, CA. The provider is 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. DR. Shannon Peacock, DC NPI is 1952811895. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

645 WEST LAKE BLVD. #3
PO BOX 7526
TAHOE CITY, CA
ZIP 96145-526
Phone: (530) 583-7475
Fax: (530) 583-7477

The enumeration date for this NPI number is 10/5/2017 and was last updated on 5/31/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor34034CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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