Christopher Michael Petiprin

Primary specialty

ContractorTaxonomy code 171W00000X

Practice address

4100 Duval Rd
Building 3, Suite 100
Austin, TX 78759-3550

Phone

(512) 550-8828

NPI assigned

Sep 18, 2019

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Chrysalis Consulting Group, LLC

  • Contractor
  • Austin, TX
  • NPI 1942846332
  NPD Authorized official
• Monarch Medical Management Group, LLC

  • Contractor
  • Austin, TX
  • NPI 1730730979
  NPD Authorized official

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

{
    "created_epoch": "1568764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568764800000",
    "number": "1336799667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 201652",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787201652",
            "telephone_number": "512-550-8828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 DUVAL RD",
            "address_2": "BUILDING 3, SUITE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787593550",
            "telephone_number": "512-550-8828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETIPRIN",
        "first_name": "CHRISTOPHER",
        "middle_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-18",
        "last_updated": "2019-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark A. Peterson, L.P.C.
• Mary E Peterson, NP
• Natalie Peterson, LCSW
• Rosemary G Peterson, MD
• Sofia Noelle Peterson
• Abagail Elizabeth Petit, PA-C
• Petite Dental & Orthodontics PLLC
• Petite Dental PLLC
• Kassandra Petr, LMFT-A
• William R Petricone III, RN

• Contractor in Austin, TX
• Providers in Austin, TX by specialty
• Contractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.