PETERSON CHIROPRACTIC
NPI 1902391121
Chiropractor in San Antonio, TX

Active since June 29, 2018
4230 GARDENDALE ST STE 201, SAN ANTONIO, TX 78229(210) 691-2747(210) 691-2872 Get Directions Write a Review

NPPES record last updated: June 29, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Peterson Chiropractic NPPES

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

PETERSON CHIROPRACTIC (NPI 1902391121) is a healthcare organization registered as a chiropractor in San Antonio, Texas and active in the NPI registry since June 2018. The organization lists Timothy Ward Peterson, Owner, as its authorized official.

NPPES Registry Identity

NPI1902391121
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameDR. TIM PETERSON, PLLC
Location Address4230 GARDENDALE ST STE 201San Antonio, TX 78229-3476
Mailing Address4230 Gardendale St Ste 201San Antonio, TX 78229-3476 · (210) 691-2747 · Fax (210) 691-2872
Fax(210) 691-2872
Organization SubpartNo
Authorized OfficialTimothy Ward PetersonOwner · (210) 691-2747
Enumeration DateJune 29, 2018
NPI 1902391121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in TX · 7180
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.
4230 GARDENDALE ST STE 201, San Antonio, TX 78229

Other Names 1

Doing Business AsPeterson Chiropractic

Other Identifiers 1

Other1548312382TX · Individual Npi

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

Other Providers at the Same Location NPPES

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

Chiropractor
4230 GARDENDALE ST STE 201
SAN ANTONIO, TX 78229

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 Dr. Tim Peterson, PLLC's NPI number?

The NPI number for Dr. Tim Peterson, PLLC is 1902391121. It was assigned to this organization in the NPPES registry on June 29, 2018. The provider is doing business as Peterson Chiropractic.

Where is Dr. Tim Peterson, PLLC located?

Dr. Tim Peterson, PLLC is located at 4230 Gardendale St Ste 201, San Antonio, TX 78229. The listed phone number is (210) 691-2747.

What is Dr. Tim Peterson, PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Dr. Tim Peterson, PLLC was last updated on June 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.