Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jeffrey Carl Pedersen, DC

Individual provider Chiropractor · NPI 1639161516

Jeffrey Carl Pedersen, DC is a Chiropractic in Pantego, Texas. Graduated from Palmer College Chiropractic - Davenport in 1984, 42 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
42
Trained at
Palmer College Chiropractic - Davenport
Licensed in
TX
In the registry since
2005
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

2920 W Park Row Dr #100
Pantego, TX 76013-2041
Phone: (817) 277-1111
Fax: (817) 861-4593
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 4106 (TX)

Record details

NPI number1639161516
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorYes
NPI enumeratedAugust 17, 2005
Last updated in NPPESJanuary 29, 2025
Certification dateJanuary 29, 2025
Mailing address2920 W Park Row Dr, 100, Pantego, TX 76013-2041

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolPALMER COLLEGE CHIROPRACTIC - DAVENPORT
Graduated 1984 (42 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Pantego