Michael Arlyn Petrie, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

007480 Issued in IA

Practice address

1444 Dickenson LN
Iowa City, IA 52240-9166

Phone

(563) 940-5609

NPI assigned

Dec 7, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Petrie Chiropractic Clinic

  • Chiropractor
  • Dixon, IL
  • NPI 1073566519
  NPD (past)

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

{
    "created_epoch": "1323216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1902174881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1444 DICKENSON LN",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522409166",
            "telephone_number": "563-940-5609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1444 DICKENSON LN",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522409166",
            "telephone_number": "563-940-5609"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 S Peoria Ave",
            "address_purpose": "LOCATION",
            "city": "Dixon",
            "state": "IL",
            "postal_code": "610212956",
            "country_code": "US",
            "telephone_number": "815-288-3614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETRIE",
        "first_name": "MICHAEL",
        "middle_name": "ARLYN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-07",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012087",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tim J Peterson, PHARMD
• Petersthree, Inc. Dba Home Instead 314 (Home Instead)
• Ellen Petes, RPH
• Janine M Petitgout, ARNP
• Peyman Petram Far
• Chloe Petrik, RD
• Allison K Pettinger
• Christian Michael Pettker, MD
• Lauren Elizabeth Pettus, RN
• Alejandro Antonio Pezzulo Colmenares, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; 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.