Active NPI
Ward W Peterson, D.C.
- Chiropractor
- San Antonio, TX
National Provider Identifier
1811052806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4023
- Practice address
- 4230 Gardendale St
BLDG. 201
San Antonio, TX 78229-3475 - Phone
- (210) 691-2747
- Fax
- (210) 691-2872
- NPI assigned
- Dec 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4023 | TX | Primary |
Addresses
Primary practice location
4230 Gardendale St
BLDG. 201
San Antonio, TX 78229-3475
Mailing address
4230 Gardendale St
BLDG. 201
San Antonio, TX 78229-3475
Phone (210) 691-2747
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210291200000",
"number": "1811052806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4230 GARDENDALE ST",
"address_2": "BLDG. 201",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293475",
"telephone_number": "210-691-2747",
"fax_number": "210-691-2872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4230 GARDENDALE ST",
"address_2": "BLDG. 201",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293475",
"telephone_number": "210-691-2747",
"fax_number": "210-691-2872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "WARD",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-27",
"last_updated": "2008-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "4023",
"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 9, 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.