Karl Geoffrey Petrie, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104556207 Issued in VA

Practice address

7025C Manchester Blvd
Alexandria, VA 22310-3227

Phone

(703) 719-7302

Fax

(703) 719-9462

NPI assigned

Oct 13, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Specialty

Chiropractic

Education

National University of Arts and Sciences, Medical Department, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

American Health and Wellenss Center, P.C.Group PAC ID 7517027246, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• American Health and Wellenss Center, P.C.

  • Chiropractor
  • Herndon, VA
  • NPI 1720230303

  DC

  Medicare reassignment Care Compare group NPD Authorized official
• Spine Care of Alexandria, Inc.

  • Neurology Chiropractor
  • Alexandria, VA
  • NPI 1528136967
  NPD (past)
• Tuck Chiropractic Corporation

  • Chiropractor
  • Blacksburg, VA
  • NPI 1003987769
  NPD (past)
• Tuck Clinic of Chiropractic

  • Chiropractor
  • Pulaski, VA
  • NPI 1447317870
  NPD (past)
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154411130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7025C MANCHESTER BLVD",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223103227",
            "telephone_number": "703-719-7302",
            "fax_number": "703-719-9462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7025C MANCHESTER BLVD",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223103227",
            "telephone_number": "703-719-7302",
            "fax_number": "703-719-9462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRIE",
        "first_name": "KARL",
        "middle_name": "GEOFFREY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne M Peterson
• Ashley Camille Peterson
• Lindsey Peterson
• Mary Peterson
• Michele L Peterson, CD
• Marija Petrovic, M.D.
• William James Pettit, M.D.
• Janice Petty, LPC, LSATP
• Jessica Petz, DPT
• Vaniqua Peyton

• Chiropractor in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.