JOHN E PETTY DC PC


Address: 452 Forest Sq, Longview, TX 75605-4401
Phone: 9037573400

JOHN E PETTY DC PC (NPI# 1821121872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821121872
Entity Type Organization
Organization Name JOHN E PETTY DC PC
Practice Address 452 Forest Sq
Longview
TX 75605-4401
Practice Telephone 9037573400
Practice Fax Number 9037539663
Mailing Telephone 9037573400
Mailing Fax Number 9037539663
Enumeration Date 2007-03-13
Last Update Date 2011-09-21
Authorized Official Name DR. JOHN E PETTY (OWNER)
Authorized Official Telephone 9037573400
Authorized Official Credential D.C.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 111N00000X Chiropractor 2365 TX Chiropractic Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX 0009342-01 05

Office Location

Street Address 452 FOREST SQ
City LONGVIEW
State TX
Zip Code 75605-4401

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902208226 Kelly Jean Lindsay Massage Therapist 452 Forest Sq, Longview, TX 75605-4401 2014-09-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194353730 Dusty Rae Hane Nurse Practitioner Diagnostic Clinic of Longview, 2901 N Fourth St, Longview, TX 75605 2020-03-30
1831720374 Kaycee Whatley Nurse Practitioner 323 W Hawkins Parkway, Longview, TX 75605 2020-02-03
1245733492 Somers Pediatrics Pediatrics 103 W. Loop 281, Suite 474, Longview, TX 75605 2018-03-14
1467838391 Piney Woods Er II LLC Clinic/Center 120 East Loop 281, Longview, TX 75605 2015-08-03
1386023968 Elizabeth Ann Heeb Tidwell Obstetrics & Gynecology 802 Medical Dr Ste 100, Longview, TX 75605 2015-05-28
1215353651 Tracy Hicks Nurse Practitioner 102 Commander Dr Ste 9, Longview, TX 75605 2014-03-10
1073881280 Deirdre Scotter Specialist/Technologist 201 E Tomlinson Pkwy, Longview, TX 75605 2011-12-02
1316230139 Traditions Hospice of Longview, LLC Hospice Care, Community Based 4362 N Us Hwy 259, Suite B, Longview, TX 75605 2011-05-26
1184916769 Telema Dikibujiri Nga Pediatrics Longview Regional Medical Center, 2901 North Fourth Street, Longview, TX 75605 2011-05-13
1902101108 The Veta Lewis Behavioral Health Group Counselor 1800 S. Judson St., Suite 100, Longview, TX 75605 2011-01-19
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Taxonomy Information

Taxonomy Code 111N00000X
Grouping Chiropractic Providers
Classification Chiropractor

Taxonomy Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790395689 Allissa Mcclain Chiropractor 2393 H G Mosley Pkwy Ste 100, Longview, TX 75604-3664 2020-08-05
1679108096 Kali Gehrman Chiropractor 1445 Commerce Ave Ste C, Longview, WA 98632-3746 2020-03-05
1942842992 Equilibrium Chiropractic, LLC Chiropractor 1558 3rd Ave, Longview, WA 98632-3229 2019-10-10
1003226721 Ashley Mayes Chiropractor 6582 Judson Rd, Longview, TX 75605-7076 2014-05-02
1659634079 Bowen Chiropractic Clinic Pllc Chiropractor 3392 Us Highway 259 N, Longview, TX 75605-5086 2012-06-20
1346514064 Gator One Investments Inc. Chiropractor 120 Johnston St, Longview, TX 75601-3909 2012-02-27
1770880544 Aimee M Warmath Chiropractor 101 W Hawkins Pkwy, Suite 7, Longview, TX 75605-1815 2011-02-14
1801105994 Randall Northcutt, D.c., P.C. Chiropractor 1201 N 6th St, Longview, TX 75601-5539 2010-10-07
1649586009 Affordable Chiropractic, Pllc Chiropractor 1318 Washington Way, Suite B, Longview, WA 98632-3974 2010-08-24
1437473592 Lance Monroe Potter Chiropractor 421 Forest Lk, Longview, TX 75605-6982 2010-03-18
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City LONGVIEW
Zip Code 75605

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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