NPIMap

Organization Active NPI

Petett Chiropractic Clinic, Inc.

  • Medical Specialty Clinic/Center
  • Renton, WA
National Provider Identifier
1568640324
Registry record updated Jun 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
601459645 Issued in WA
Legal business name
PETETT CHIROPRACTIC CLINIC, INC.
Practice address
10622 SE Carr Rd
Suite a
Renton, WA 98055-5406
Phone
(425) 277-2225
Fax
(425) 277-1591
NPI assigned
Feb 4, 2008
Last updated
Jun 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2008

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

Authorized official

Name
Dr. Jeffrey Scott Petett, D.C.NPI 1467536656
Title
Owner
Phone
(425) 277-2225

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 601459645 WA Primary

Addresses

Primary practice location

10622 SE Carr Rd
Suite a
Renton, WA 98055-5406

Mailing address

10622 SE Carr Rd
Suite a
Renton, WA 98055-5406
Phone (425) 277-2225

National Provider Directory

National Provider Directory

Locations

10622 SE Carr Rd
Unit A
Renton, WA 98055
Phone (425) 277-2225

10716 SE Carr Rd
Renton, WA 98055
Phone (206) 277-2225

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1568640324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10622 SE CARR RD",
            "address_2": "SUITE A",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555406",
            "telephone_number": "425-277-2225",
            "fax_number": "425-277-1591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10622 SE CARR RD",
            "address_2": "SUITE A",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555406",
            "telephone_number": "425-277-2225",
            "fax_number": "425-277-1591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETETT CHIROPRACTIC CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-04",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "PETETT",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-277-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "WA",
            "license": "601459645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; 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.