DR. CRAIG MICHAEL PETITGOUT D.C.
NPI 1710911748
Chiropractor in Coralville, IA

Q: What is Craig Petitgout's NPI number?

The NPI number for Craig Petitgout is 1710911748. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Q: What is Craig Petitgout's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Craig Petitgout was last updated on November 14, 2007. 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.

Active since July 10, 2006

850 22ND AVE # 3, CORALVILLE, IA 52241(319) 354-9574(319) 834-1128 Get Directions Write a Review

NPPES record last updated: November 14, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Craig Michael Petitgout D.c. NPPES

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

DR. CRAIG MICHAEL PETITGOUT D.C. (NPI 1710911748) is an individual chiropractor in Coralville, Iowa, licensed in Iowa (A06076) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1710911748

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameDR. CRAIG MICHAEL PETITGOUTCredential: D.C.

Location Address850 22ND AVE # 3Coralville, IA 52241-1565

Mailing Address850 22nd Ave # 3Coralville, IA 52241-1565 · (319) 354-9574 · Fax (319) 834-1128

Phone(319) 354-9574

Fax(319) 834-1128

Sole ProprietorYes

Enumeration DateJuly 10, 2006

Last NPPES UpdateNovember 14, 2007

✔ NPI 1710911748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in IA · A06076

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.

850 22ND AVE # 3, Coralville, IA 52241

Open in Google Maps ↗

Other Identifiers 3

Medicare PIN41165IA

Medicare UPINU69734

Medicaid0160606IA

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 Craig Petitgout's NPI number?

The NPI number for Craig Petitgout is 1710911748. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Craig Petitgout located?

Craig Petitgout practices at 850 22nd Ave # 3, Coralville, IA 52241. The listed phone number is (319) 354-9574.

What is Craig Petitgout'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 Craig Petitgout was last updated on November 14, 2007. 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.