Park Cities Chirosport Inc
NPI 1114160827ActiveOrganization· Chiropractor, Rehabilitation· Dallas, TX
Chiropractor, Rehabilitation in Dallas, Texas, registered in NPPES in April 2009. The authorized official on file is R Todd Petersen, DC, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1114160827 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 10, 2009 |
| Last updated in NPPES | Oct 30, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor, Rehabilitation Primary | 111NR0400X | 09289 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
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