Anna Petry, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1008 Issued in ND

Practice address

3788 55TH Ave S Ste 105
Fargo, ND 58104-7331

Phone

(701) 809-4594

Fax

(701) 291-8778

NPI assigned

Jul 7, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Balance Restored Chiropractic PLLC

  dba Restore Chiropractic

  • Chiropractor
  • Fargo, ND
  • NPI 1851837710
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1962885087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3788 55TH AVE S STE 105",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581047331",
            "telephone_number": "701-809-4594",
            "fax_number": "701-291-8778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3788 55TH AVE S STE 105",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581047331",
            "telephone_number": "701-809-4594",
            "fax_number": "701-291-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRY",
        "first_name": "ANNA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-07",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "1008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Jane Peterson, RN
• Terry A Peterson, PA-C
• Thomas Michael Peterson, ATC
• Wanda Lee Peterson, LRD
• Katherine Theresa Petrik
• Erika Teresa Petry, OT
• Destinee Petsinger
• Haley Marie Pettis, DPT
• Jeanine Peyerl, OTR/L
• Eric Arash Pezhman, M.D.

• Chiropractor in Fargo, ND
• Providers in Fargo, ND by specialty
• Chiropractor in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.