DR. JACK A PEDERSEN D.C.
NPI 1164484895
Chiropractor in Colleyville, TX

Active since April 06, 2006
7155 COLLEYVILLE BLVD, STE 103, COLLEYVILLE, TX 76034(817) 251-7328(817) 421-7380 Get Directions Write a Review

NPPES record last updated: January 5, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Jack A Pedersen D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACK A PEDERSEN D.C. (NPI 1164484895) is an individual chiropractor in Colleyville, Texas, licensed in Texas (2471) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1164484895
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JACK A PEDERSENCredential: D.C.
Location Address7155 COLLEYVILLE BLVD, STE 103Colleyville, TX 76034-8003
Mailing Address7155 Colleyville Blvd, Ste 103Colleyville, TX 76034-8003 · (817) 251-7328 · Fax (817) 421-7380
Fax(817) 421-7380
Sole ProprietorYes
Enumeration DateApril 6, 2006
Last NPPES UpdateJanuary 5, 2015
NPI 1164484895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in TX · 2471
Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

7155 COLLEYVILLE BLVD, Colleyville, TX 76034

Other Identifiers 1

Medicare UPINT15219TX

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Primary Care)
7155 COLLEYVILLE BLVD, SUITE 101
COLLEYVILLE, TX 76034
Clinical Medical Laboratory
7155 COLLEYVILLE BLVD, SUITE 102
COLLEYVILLE, TX 76034
Nurse Practitioner
7155 COLLEYVILLE BLVD
COLLEYVILLE, TX 76034
Chiropractor
7155 COLLEYVILLE BLVD, STE 103
COLLEYVILLE, TX 76034
Clinical Medical Laboratory
7155 COLLEYVILLE BLVD, SUITE 102
COLLEYVILLE, TX 76034

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164484895, enumerated as an "individual" on April 06, 2006.

The provider is located at 7155 COLLEYVILLE BLVD STE 103 COLLEYVILLE, TX 76034 and the phone number is (817) 251-7328.

Chiropractor with taxonomy code 111N00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.