NPIMap

Organization Active NPI

Michael B. Pettet, DC, PS

  • Chiropractor
  • Vancouver, WA
National Provider Identifier
1609086784
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034021 Issued in WA
Legal business name
MICHAEL B. PETTET, DC, PS
Practice address
11516 SE Mill Plain Blvd Ste 2C
Vancouver, WA 98684-5082
Phone
(360) 284-4747
NPI assigned
May 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Authorized official

Name
Dr. Michael Pettet, DCNPI 1881647717
Title
Owner
Phone
(360) 284-4747

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH00034021 WA Primary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 28 3284 OR
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X MA000187861 WA

Addresses

Primary practice location

11516 SE Mill Plain Blvd Ste 2C
Vancouver, WA 98684-5082

Mailing address

11516 SE Mill Plain Blvd Ste 2C
Vancouver, WA 98684-5082
Phone (360) 284-4747

Other names 1

  • Back and Neck Care Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111130000207 WA Part B Supplier - Clinic/Group Practice 5597757658 Receives reassigned benefits from 4 practitioners
Practice locations: Vancouver, WA

National Provider Directory

National Provider Directory

Locations

11516 SE Mill Plain Blvd
Ste 2C
Vancouver, WA 98684
Phone (360) 253-6674

11600 SE Mill Plain Blvd
Ste 3J
Vancouver, WA 98684
Phone (360) 253-6674

11600 SE Mill Plain Blvd
#3J
Vancouver, WA 98684
Phone (360) 253-6674

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771977600000",
    "number": "1609086784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11516 SE MILL PLAIN BLVD STE 2C",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986845082",
            "telephone_number": "360-284-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11516 SE MILL PLAIN BLVD STE 2C",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986845082",
            "telephone_number": "360-284-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL B. PETTET, DC, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A",
        "authorized_official_last_name": "PETTET",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-284-4747",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034021",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "28 3284",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA000187861",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Back and Neck Care Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; 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.