Organization Active NPI

Trent Peng DC

  • Chiropractor
  • Austin, TX
National Provider Identifier
1184851461
Registry record updated Jun 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10084 Issued in TX
Legal business name
TRENT PENG DC
Practice address
9070 Research Blvd Ste 105
Austin, TX 78758-7048
Phone
(512) 786-2017
Fax
(512) 374-9911
NPI assigned
Jun 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2009

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

Authorized official

Name
Dr. Trent Peng, D.C.
Title
Ceo
Phone
(512) 786-2017

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 10084 TX Primary

Addresses

Primary practice location

9070 Research Blvd Ste 105
Austin, TX 78758-7048

Mailing address

605 Fairmont
Georgetown, TX 78628-4681
Phone (512) 591-7446

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1245024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245024000000",
    "number": "1184851461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 FAIRMONT",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786284681",
            "telephone_number": "512-591-7446",
            "fax_number": "512-591-7446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9070 RESEARCH BLVD STE 105",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787587048",
            "telephone_number": "512-786-2017",
            "fax_number": "512-374-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRENT PENG DC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-15",
        "last_updated": "2009-06-15",
        "status": "A",
        "authorized_official_last_name": "PENG",
        "authorized_official_first_name": "TRENT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "512-786-2017",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2009; 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.