Ted T Pedersen, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

155260 Issued in CA

Practice address

3900 Truxtun Ave
Bakersfield, CA 93309-0600

Phone

(661) 325-4446

Fax

(661) 322-9313

NPI assigned

Feb 7, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Tatsuno Chiropracitc Inc

  • Chiropractor
  • Bakersfield, CA
  • NPI 1861759557
  NPD (past)

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821138330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9399",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933899399",
            "telephone_number": "661-325-4446",
            "fax_number": "661-322-9313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 TRUXTUN AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090600",
            "telephone_number": "661-325-4446",
            "fax_number": "661-322-9313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDERSEN",
        "first_name": "TED",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "155260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FED ID NUMBER",
            "identifier": "77-112765",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chazlin Pearson
• Kimberly Joyce Pechickjian, RAS
• Eric A. Peck, M.D.
• Monica Peck, M.S.W., LCSW#26360
• Kaleena Ped
• Pedi Center, a Medical Group Inc.
• Pediatric Cardiac Clinic
• Pediatric Diagnostic Cardiac Services, Inc
• Pediatric Endocrinology & Diabetes Cons
• Pediatric Heart Center

• Chiropractor in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.