Craig K. Petek D.C. P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1292 Issued in GA

Legal business name

CRAIG K. PETEK D.C. P.C.

Practice address

6470 Spalding Dr
Norcross, GA 30092-4656

Phone

(770) 447-5116

NPI assigned

Dec 23, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Craig Petek, DC

Title

Chiropractor

Phone

(770) 447-5116

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1324598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324598400000",
    "number": "1942579628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6470 SPALDING DR",
            "address_2": "SUITE J",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300924656",
            "telephone_number": "770-447-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6470 SPALDING DR",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300924656",
            "telephone_number": "770-447-5116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG K. PETEK D.C. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-23",
        "last_updated": "2011-12-23",
        "status": "A",
        "authorized_official_last_name": "PETEK",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "770-447-5116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "1292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Norcross, GA
• Providers in Norcross, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2011; 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.