Active NPI
Michael F Petrie, DC
- Chiropractor
- Oakland Park, FL
National Provider Identifier
1518067461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH3310
- Practice address
- 410 NE 44 St
Oakland Park, FL 33334 - Phone
- (954) 561-4700
- Fax
- (954) 561-0812
- NPI assigned
- Sep 22, 2006
- Last updated
- Aug 25, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH3310 | FL | Primary |
Addresses
Primary practice location
410 NE 44 St
Oakland Park, FL 33334
Mailing address
410 NE 44 St
Oakland Park, FL 33334
Phone (954) 561-4700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 050051800 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
410 NE 44TH St
Oakland, FL 33334-1423
Phone (954) 561-4700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
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.
-
dba Petrie Chiropractic Life Center
- Anesthesiology Physician
- Oakland Park, FL
- NPI 1588801492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408924800000",
"number": "1518067461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 NE 44 ST",
"city": "OAKLAND PARK",
"state": "FL",
"postal_code": "33334",
"telephone_number": "954-561-4700",
"fax_number": "954-561-0812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 NE 44 ST",
"city": "OAKLAND PARK",
"state": "FL",
"postal_code": "33334",
"telephone_number": "954-561-4700",
"fax_number": "954-561-0812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETRIE",
"first_name": "MICHAEL",
"middle_name": "F",
"name_prefix": "Mr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-22",
"last_updated": "2014-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH3310",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "050051800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oakland Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2014; 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.