CHISHOLM TRAIL CLINIC OF CHIROPRACTIC
NPI 1578871653
Chiropractor in Lockhart, TX

Active since September 22, 2010
731 S COLORADO ST, LOCKHART, TX 78644(512) 668-4163 Get Directions Write a Review

NPPES record last updated: September 22, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Chisholm Trail Clinic Of Chiropractic NPPES

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

CHISHOLM TRAIL CLINIC OF CHIROPRACTIC (NPI 1578871653) is a healthcare organization registered as a chiropractor in Lockhart, Texas and active in the NPI registry since September 2010. The organization lists Ronald James Peterson, Chiropractor, as its authorized official.

NPPES Registry Identity

NPI1578871653
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameCHISHOLM TRAIL CLINIC OF CHIROPRACTIC
Location Address731 S COLORADO STLockhart, TX 78644-3103
Mailing Address1607 Paintbrush DrLockhart, TX 78644-3087 · (512) 668-4163
Organization SubpartNo
Authorized OfficialRonald James PetersonChiropractor · (512) 668-4163
Enumeration DateSeptember 22, 2010
✔ NPI 1578871653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in TX · 11510
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.
731 S COLORADO ST, Lockhart, TX 78644

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chisholm Trail Clinic Of Chiropractic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Chisholm Trail Clinic Of Chiropractic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1205143948
731 S COLORADO ST
Lockhart, TX 78644
(512) 668-4163
Same address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chisholm Trail Clinic Of Chiropractic's NPI number?

The NPI number for Chisholm Trail Clinic Of Chiropractic is 1578871653. It was assigned to this organization in the NPPES registry on September 22, 2010.

Where is Chisholm Trail Clinic Of Chiropractic located?

Chisholm Trail Clinic Of Chiropractic is located at 731 S Colorado St, Lockhart, TX 78644. The listed phone number is (512) 668-4163.

What is Chisholm Trail Clinic Of Chiropractic's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Chisholm Trail Clinic Of Chiropractic enrolled in Medicare?

Yes. Chisholm Trail Clinic Of Chiropractic is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Chisholm Trail Clinic Of Chiropractic?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Chisholm Trail Clinic Of Chiropractic. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Chisholm Trail Clinic Of Chiropractic was last updated on September 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.