NPIMap

Organization Active NPI

Petrey Chiropractic LLC

  • Chiropractor
  • Mobile, AL
National Provider Identifier
1942566575
Registry record updated Apr 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1648 Issued in AL
Legal business name
PETREY CHIROPRACTIC LLC
Practice address
6356 Cottage Hill Rd
Mobile, AL 36609-3111
Phone
(251) 661-7577
NPI assigned
Apr 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2012

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

Authorized official

Name
Dr. Winfred Darrell Petrey, D.C.
Title
Doctor/Owner
Phone
(251) 661-7577

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1648 AL Primary

Addresses

Primary practice location

6356 Cottage Hill Rd
Mobile, AL 36609-3111

Mailing address

6356 Cottage Hill Rd
Mobile, AL 36609-3111
Phone (251) 661-7577

National Provider Directory

National Provider Directory

Locations

6356 Cottage Hill Rd
Mobile, AL 36609
Phone (251) 661-7577

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1333929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333929600000",
    "number": "1942566575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6356 COTTAGE HILL RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366093111",
            "telephone_number": "251-661-7577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6356 COTTAGE HILL RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366093111",
            "telephone_number": "251-661-7577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETREY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-09",
        "last_updated": "2012-04-09",
        "status": "A",
        "authorized_official_last_name": "PETREY",
        "authorized_official_first_name": "WINFRED",
        "authorized_official_middle_name": "DARRELL",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "251-661-7577",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "1648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2012; 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.