Nancy Pederson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4172 Issued in CO

Practice address

6881 S Holly Circle
Suite 207
Centennial, CO 80112-1145

Phone

(303) 221-3600

Fax

(720) 529-0222

NPI assigned

Feb 19, 2007

Last updated

Mar 11, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pederson Chiropractic, Inc.

  • Chiropractor
  • Centennial, CO
  • NPI 1255501003
  NPD (past) Authorized official

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205193600000",
    "number": "1093859308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20128 E DARTMOUTH DR",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800138434",
            "telephone_number": "303-221-3600",
            "fax_number": "720-529-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6881 S HOLLY CIRCLE",
            "address_2": "SUITE 207",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801121145",
            "telephone_number": "303-221-3600",
            "fax_number": "720-529-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDERSON",
        "first_name": "NANCY",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-19",
        "last_updated": "2008-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "4172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phil Cody Pearson, M.D.
• Vicky Lyn Pease, PT
• Pederson Chiropractic, Inc.
• Jon F Pederson, OD
• Laura Elizabeth Pederson
• Pediatric & Adolescent Gynecology of the Rocky Mountains
• Pediatric Journeys LLC
• Pediatric Pathways
• Pediatric Speech Therapy Associates (Amazing Care Pediatric Outpatient Therapy)
• Pediatrics 5280 PC

• Chiropractor in Centennial, CO
• Providers in Centennial, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; 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.