Petitgout, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

PETITGOUT, INC.

Practice address

850 22ND Ave Ste 3
Coralville, IA 52241-1688

Phone

(319) 530-9011

Fax

(319) 834-1128

NPI assigned

Jun 10, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Craig Michael Petitgout, DC

Title

Doctor of Chiropractic

Phone

(319) 530-9011

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402358400000",
    "number": "1497168157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 22ND AVE STE 3",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522411688",
            "telephone_number": "319-530-9011",
            "fax_number": "319-834-1128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 22ND AVE STE 3",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522411688",
            "telephone_number": "319-530-9011",
            "fax_number": "319-834-1128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETITGOUT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-10",
        "last_updated": "2014-06-10",
        "status": "A",
        "authorized_official_last_name": "PETITGOUT",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "319-530-9011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Anna Sophia Petersen
• Ross Petersen, PT
• Donald C Peterson Jr., DDS
• Kathryn Amanda Peterson, OTD, OTR/L
• Craig Michael Petitgout, D.C.
• Jason Pfeifer, OD
• Hannah Marie Pfister
• Kathie Pham
• Pharmerica Midwest LLC (PharMerica)
• Phleb-Express Inc

• Chiropractor in Coralville, IA
• Providers in Coralville, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; 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.