Individual provider Active NPI

Hamid Pejman, D.C.

  • Chiropractor
  • San Antonio, TX
National Provider Identifier
1245311463
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4362 Issued in TX
Practice address
540 Oak Centre Dr Ste 105
San Antonio, TX 78258-3936
Phone
(210) 495-0888
Fax
(210) 493-7923
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4362 TX Primary

Addresses

Primary practice location

540 Oak Centre Dr Ste 105
San Antonio, TX 78258-3936

Mailing address

540 Oak Centre Dr Ste 105
San Antonio, TX 78258-4767
Phone (210) 493-9119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091028000098 TX Practitioner - Chiropractic 8820135627 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1986
Medicare assignment
May accept Medicare assignment
Group practices
David a Kling DCPCGroup PAC ID 7517183809, 3 clinicians

Practice addresses (Care Compare)

540 Oak Centre Dr
Suite 105
San Antonio, TX 78258-3936
Phone (210) 493-9119

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4362TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
David a Kling DCPC Chiropractor CurrentSince Jun 7, 2019 Accepting new patients
David R Kling Corporation CurrentSince May 22, 2022 Accepting new patients
Holloway Chiropractic PLLC Chiropractor Past Accepting new patients

Locations

540 Oak Centre Dr
Ste 105
San Antonio, TX 78258
Phone (210) 403-2844

225 E Sonterra Blvd
Ste 113
San Antonio, TX 78258
Phone (210) 493-9119

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1245311463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 OAK CENTRE DR STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584767",
            "telephone_number": "210-493-9119",
            "fax_number": "210-493-7923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 OAK CENTRE DR STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583936",
            "telephone_number": "210-495-0888",
            "fax_number": "210-493-7923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEJMAN",
        "first_name": "HAMID",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "4362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.