PETERSON CHIROPRACTIC
NPI 1902391121
Chiropractor in San Antonio, TX

Q: 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.

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

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

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: October 25, 2026.

On this page

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

Phone(210) 691-2747

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

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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peterson Chiropractic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Peterson Chiropractic, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Timothy Peterson, D.C.

Chiropractic

NPI 1548312382

4230 GARDENDALE ST BLDG 201
San Antonio, TX 78229

(210) 691-2747

Same address

Mckenzie Slattery, DC

Chiropractic

NPI 1053168567

4230 GARDENDALE ST STE 201
San Antonio, TX 78229

(210) 691-2747

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 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.

Is Dr. Tim Peterson, PLLC enrolled in Medicare?

Yes. Dr. Tim Peterson, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dr. Tim Peterson, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Dr. Tim Peterson, PLLC. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.