Michael T Petty DC PLLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

DC511 Issued in TN

Legal business name

MICHAEL T PETTY DC PLLC

Doing business as

Concord Chiropractic Clinic

Practice address

10826 Kingston Pike
Knoxville, TN 37934-3059

Phone

(865) 675-5050

Fax

(865) 671-1321

NPI assigned

Oct 23, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Michael Petty, D.C.NPI 1679578132

Title

Director

Phone

(865) 675-5050

Specialties & licenses 1

Addresses

Other names 1

• Concord Chiropractic Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Travis Petty, D.C.

  • Chiropractor
  • Knoxville, TN
  • NPI 1679578132
  Medicare reassignment Care Compare group NPD Authorized official
• Michael Robert Brower, DC

  • Chiropractor
  • Sterling, VA
  • NPI 1356810170

  TN

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1350950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350950400000",
    "number": "1417200809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10826 KINGSTON PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379343059",
            "telephone_number": "865-675-5050",
            "fax_number": "865-671-1321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10826 KINGSTON PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379343059",
            "telephone_number": "865-675-5050",
            "fax_number": "865-671-1321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL T PETTY DC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-23",
        "last_updated": "2012-10-23",
        "status": "A",
        "authorized_official_last_name": "PETTY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "865-675-5050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "TN",
            "license": "DC511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Concord Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael B. Allee OD PC
• Michael C Doody, MD PC
• Michael E Doyle, DDS PC
• Michael E. Edenfield, DDS, PC
• Michael F. Lett, M.D. P.C. (Michael F. Lett, M.D.)
• Michael W. Hill, MD, PC
• Derek Allen Michael, PA
• Patricia Ann Michael, PH.D., CCC-SLP
• Claire Shell Michaels, MSN, APRN, FNP-C
• Jessica Elaine Michaels, COTA

• Multi-Specialty Clinic/Center in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Multi-Specialty Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; 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.