Petty Chiropractic, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4185 Issued in NC

Legal business name

PETTY CHIROPRACTIC, PLLC

Practice address

1295 Old US 1
Suite F
Southern Pines, NC 28387

Phone

(910) 246-2099

Fax

(910) 246-2098

NPI assigned

Mar 22, 2013

Organization subpart

No

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

Authorized official

Name

Dr. John Adam Petty, D.C.NPI 1083919245

Title

Owner

Phone

(704) 214-2020

Specialties & licenses 1

Addresses

Other names 1

• Carolina Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 2

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

• John Adam Petty, D.C.

  • Chiropractor
  • Southern Pines, NC
  • NPI 1083919245
  Medicare reassignment NPD Authorized official
• John Thomas Tierney, DC

  • Chiropractor
  • Southern Pines, NC
  • NPI 1841275963
  NPD (past)

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

{
    "created_epoch": "1363910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363910400000",
    "number": "1922340447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1295 OLD US 1",
            "address_2": "SUITE F",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "28387",
            "telephone_number": "910-246-2099",
            "fax_number": "910-246-2098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1295 OLD US 1",
            "address_2": "SUITE F",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "28387",
            "telephone_number": "910-246-2099",
            "fax_number": "910-246-2098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETTY CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-22",
        "last_updated": "2013-03-22",
        "status": "A",
        "authorized_official_last_name": "PETTY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-214-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Victoria Pender, LMT
• Penick Village Inc
• Chelsea Perez
• Rachel Pessagno, OTR/L
• Peterkin & Associates, Inc.
• John Adam Petty, D.C.
• Tam T Pham, RPH
• Douglas Anthony Phillips, CRNA
• Richard Blair Phinney, MD
• Physical Therapy of Southern Pines, LLC

• Chiropractor in Southern Pines, NC
• Providers in Southern Pines, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2013; 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.