1. Home
  2. Directory
  3. Minnesota
  4. Eagan
  5. Chiropractor
  6. NPI Profile

PETTIS CHIROPRACTIC
NPI 1316115934
Chiropractor in Eagan, MN

Active since February 16, 2008
1570 CENTURY PT, EAGAN, MN 55121(651) 261-1923(651) 405-6627 Get Directions Write a Review

NPPES record last updated: June 19, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pettis Chiropractic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PETTIS CHIROPRACTIC (NPI 1316115934) is a healthcare organization registered as a chiropractor in Eagan, Minnesota and active in the NPI registry since February 2008. The organization lists Jay Pettis, Owner/chiropractor, as its authorized official.

NPPES Registry Identity

NPI1316115934
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NamePETTIS CHIROPRACTIC
Location Address1570 CENTURY PTEagan, MN 55121-1926
Mailing Address1570 Century PtEagan, MN 55121-1926 · (651) 261-1923 · Fax (651) 405-6627
Phone(651) 261-1923
Fax(651) 405-6627
Organization SubpartNo
Authorized OfficialJay PettisOwner/chiropractor · (651) 261-1923
Enumeration DateFebruary 16, 2008
Last NPPES UpdateJune 19, 2008
✔ NPI 1316115934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MN · 4807
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.
1570 CENTURY PT, Eagan, MN 55121
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINV09911MN
Medicaid996698000MN
Other274N4PEMN · Bcbs

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEALING TOUCH CHIROPRACTIC
Chiropractor
1570 CENTURY PT
EAGAN, MN 55121
Dakota County (651) 405-3990

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pettis Chiropractic's NPI number?

The NPI number for Pettis Chiropractic is 1316115934. It was assigned to this organization in the NPPES registry on February 16, 2008.

Where is Pettis Chiropractic located?

Pettis Chiropractic is located at 1570 Century Pt, Eagan, MN 55121. The listed phone number is (651) 261-1923.

What is Pettis Chiropractic's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Pettis Chiropractic was last updated on June 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.