Jeffrey Carl Pedersen, D.C.

Chiropractor · Pantego, TX

Individual Active NPI

NPI number 1639161516

Practice location

2920 W Park Row Dr
#100
Pantego, TX 76013-2041
Phone
(817) 277-1111
Fax
(817) 861-4593

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NPI record

NPI
1639161516
Entity type
Individual (Type 1)
Enumeration date
August 17, 2005
Last updated
January 29, 2025
Certified
January 29, 2025
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Chiropractor Primary 111N00000X 4106 TX

About Dr. Pedersen

Jeffrey Carl Pedersen, D.C. is a healthcare provider registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 2920 W Park Row Dr, #100, Pantego, TX 76013-2041. The NPI number 1639161516 was assigned on August 17, 2005 and the record was last updated on January 29, 2025.

Dr. Pedersen lists a license in the registry: #4106 (TX) for Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jeffrey Carl Pedersen, D.C.?

The NPI number is 1639161516.

What is the phone number of Dr. Pedersen?

The phone number listed for the practice location is (817) 277-1111.

Where is Dr. Pedersen located?

2920 W Park Row Dr, #100, Pantego, TX 76013-2041.

What is the taxonomy code for Dr. Pedersen?

The primary taxonomy code is 111N00000X – Chiropractor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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