Individual provider Active NPI

Christopher Edwin Pettet, D.C.

  • Chiropractor
  • Clearwater, FL
National Provider Identifier
1245208768
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7210 Issued in FL
Practice address
2564 Sunset Point Rd
Clearwater, FL 33765-1500
Phone
(727) 796-8456
Fax
(727) 797-3435
NPI assigned
Mar 9, 2006
Last updated
Aug 28, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 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) 244-6830

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050105000489 FL Practitioner - Chiropractic 1951359025 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2564 Sunset Point Rd
Clearwater, FL 33765-1500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Christopher E. Pettet, D.C. P.a. CurrentSince Dec 4, 2002 Accepting new patients
Orange Medical Supply LLC CurrentSince Jun 1, 2020 Accepting new patients

Locations

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

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1245208768",
    "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": "727-244-6830",
            "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": {
        "last_name": "PETTET",
        "first_name": "CHRISTOPHER",
        "middle_name": "EDWIN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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.
  • 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.