Organization Active NPI

Pederson Chiropractic, Inc.

  • Chiropractor
  • Centennial, CO
National Provider Identifier
1255501003
Registry record updated Mar 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4172 Issued in CO
Legal business name
PEDERSON CHIROPRACTIC, INC.
Practice address
6881 S Holly Cir
Suite 207
Centennial, CO 80112-1145
Phone
(303) 221-3600
NPI assigned
Mar 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2008

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

Authorized official

Name
Nancy Pederson, D.C.NPI 1093859308
Title
Owner
Phone
(303) 221-3600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4172 CO Primary

Addresses

Primary practice location

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

Mailing address

20128 E Dartmouth Dr
Aurora, CO 80013-8434
Phone (303) 221-3600

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204848000000",
    "number": "1255501003",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6881 S HOLLY CIR",
            "address_2": "SUITE 207",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801121145",
            "telephone_number": "303-221-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDERSON CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-07",
        "last_updated": "2008-03-07",
        "status": "A",
        "authorized_official_last_name": "PEDERSON",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-221-3600",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "4172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.