Individual provider Active NPI

Trent Peng, D.C.

  • Chiropractor
  • Pflugerville, TX
National Provider Identifier
1598780298
Registry record updated Sep 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10084 Issued in TX
Practice address
2415 Pecan St W Ste 201
Pflugerville, TX 78660-3669
Phone
(512) 251-9686
Fax
(512) 251-9488
NPI assigned
Jul 13, 2006
Last updated
Sep 25, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 10084 TX Primary

Addresses

Primary practice location

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

Mailing address

2415 Pecan St W Ste 201
Pflugerville, TX 78660-3669
Phone (512) 251-9686

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061024000157 TX Practitioner - Chiropractic 5294732871 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2415 W Pecan St
Suite 201
Pflugerville, TX 78660-4220
Phone (512) 251-9686

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pflugerville Wellness Center PLLC Chiropractor CurrentSince Jan 1, 2014 Accepting new patients
Blakely Acupuncture Past Accepting new patients
Montgomery Chiropractic, P.C. Chiropractor PastSince Nov 28, 2012 Accepting new patients

Locations

2415 W Pecan St
Ste 201
Pflugerville, TX 78660
Phone (512) 251-9686

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380067200000",
    "number": "1598780298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 PECAN ST W 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 STE 201",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786603669",
            "telephone_number": "512-251-9686",
            "fax_number": "512-251-9488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENG",
        "first_name": "TRENT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2013-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pflugerville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.