Organization Active NPI

Christopher E. Pettet, D.C. P.a.

  • Clinic/Center
  • Clearwater, FL
National Provider Identifier
1194064261
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
CH7210 Issued in FL
Legal business name
CHRISTOPHER E. PETTET, D.C. P.A.
Practice address
2564 Sunset Point Rd
Clearwater, FL 33765-1500
Phone
(727) 796-8456
Fax
(727) 797-3435
NPI assigned
Feb 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Authorized official

Name
Dr. Christopher Edwin Pettet, D.C.NPI 1245208768
Title
Owner
Phone
(727) 796-8456

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X CH7210 FL Primary

Addresses

Primary practice location

2564 Sunset Point Rd
Clearwater, FL 33765-1500

Mailing address

2564 Sunset Point Rd
Clearwater, FL 33765-1500
Phone (727) 796-8456

Other identifiers 2

IdentifierTypeStateIssuer
P00025388OtherFLMEDICARE ID
55917OtherFLMEDICARE ID

Other names 1

  • Sunset Chiropractic Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130314000045 FL Part B Supplier - Clinic/Group Practice 9931344231 Receives reassigned benefits from 1 practitioner
Practice locations: Clearwater, FL

National Provider Directory

National Provider Directory

Locations

2564 Sunset Point Rd
Clearwater, FL 33765
Phone (727) 286-8319

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1360281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724803200000",
    "number": "1194064261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2564 SUNSET POINT RD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337651500",
            "telephone_number": "727-796-8456",
            "fax_number": "727-797-3435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2564 SUNSET POINT RD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337651500",
            "telephone_number": "727-796-8456",
            "fax_number": "727-797-3435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER E. PETTET, D.C. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-08",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A",
        "authorized_official_last_name": "PETTET",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "EDWIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-796-8456",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "CH7210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "P00025388",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "55917",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunset Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.