Active NPI
Peder Angell, MD
- Chiropractor
- San Antonio, TX
National Provider Identifier
1932690252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 13795
- Practice address
- 2711 Treble CRK
San Antonio, TX 78258-4546 - Phone
- (800) 404-6050
- Fax
- (866) 313-3397
- NPI assigned
- May 22, 2018
- Last updated
- Jul 10, 2019
- 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 | 13795 | TX | Primary |
Addresses
Primary practice location
2711 Treble CRK
San Antonio, TX 78258-4546
Mailing address
PO Box 700688
San Antonio, TX 78270-0688
Phone (210) 477-7654
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13795 | Other | TX | TEXAS BOARD OF CHIROPRACTIC EXAMINERS |
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
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562716800000",
"number": "1932690252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 700688",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782700688",
"telephone_number": "210-477-7654",
"fax_number": "210-468-0682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2711 TREBLE CRK",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782584546",
"telephone_number": "800-404-6050",
"fax_number": "866-313-3397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANGELL",
"first_name": "PEDER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-22",
"last_updated": "2019-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "13795",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS BOARD OF CHIROPRACTIC EXAMINERS",
"identifier": "13795",
"state": "TX"
}
],
"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 Jul 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.