Pflugerville Wellness Center PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

10084 Issued in TX

Legal business name

PFLUGERVILLE WELLNESS CENTER PLLC

Practice address

2415 Pecan St W
Ste 201
Pflugerville, TX 78660-3669

Phone

(512) 251-9686

Fax

(512) 251-9488

NPI assigned

Dec 16, 2013

Organization subpart

No

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

Authorized official

Name

Trent PengNPI 1598780298

Title

Owner

Phone

(512) 251-9686

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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

• Trent Peng, D.C.

  • Chiropractor
  • Pflugerville, TX
  • NPI 1598780298
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1387152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387152000000",
    "number": "1497176606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 PECAN ST W",
            "address_2": "STE 201",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786603669",
            "telephone_number": "512-251-9686",
            "fax_number": "512-251-9488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 PECAN ST W",
            "address_2": "STE 201",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786603669",
            "telephone_number": "512-251-9686",
            "fax_number": "512-251-9488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PFLUGERVILLE WELLNESS CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-16",
        "last_updated": "2013-12-16",
        "status": "A",
        "authorized_official_last_name": "PENG",
        "authorized_official_first_name": "TRENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-251-9686"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jennifer Leigh Phillips, MS, CCC-SLP
• John Paul Phillips
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• Chiropractor in Pflugerville, TX
• Providers in Pflugerville, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2013; 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.