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DR. JACOB RICHARD PETWAY DC, QME, IIE, BS
NPI 1871938217
Chiropractor in Sacramento, CA

Active since April 29, 2013
929 AZUSA ST, SACRAMENTO, CA 95833(530) 315-5594 Get Directions Write a Review

NPPES record last updated: April 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 10, 2023, Feb 18, 2017 (2 updates tracked since 2017).

About Dr. Jacob Richard Petway Dc, Qme, Iie, Bs NPPES

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

DR. JACOB RICHARD PETWAY DC, QME, IIE, BS (NPI 1871938217) is an individual chiropractor in Sacramento, California, licensed in California (32615) and active in the NPI registry since April 2013. He maintains a secondary practice location in Rocklin.

NPPES Registry Identity

NPI1871938217
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JACOB RICHARD PETWAYCredential: DC, QME, IIE, BS
Location Address929 AZUSA STSacramento, CA 95833-2328
Mailing Address929 Azusa StSacramento, CA 95833-2328 · (530) 315-5594
Phone(530) 315-5594
Sole ProprietorNo
Enumeration DateApril 29, 2013
Last NPPES UpdateApril 27, 20232 updates tracked since enumeration
NPPES CertifiedApril 27, 2023
✔ NPI 1871938217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CA · 32615
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.
Also ListedBehavior TechnicianTaxonomy 106S00000X
929 AZUSA ST, Sacramento, CA 95833
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Secondary Practice Location 1

Location 12209 Plaza Dr Ste 100Rocklin, CA 95765-4419 · Phone (888) 922-2843 · Fax (855) 568-2494

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 Jacob Petway's NPI number?

The NPI number for Jacob Petway is 1871938217. It was assigned to this individual provider in the NPPES registry on April 29, 2013.

Where is Jacob Petway located?

Jacob Petway practices at 929 Azusa St, Sacramento, CA 95833. The listed phone number is (530) 315-5594.

What is Jacob Petway'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 Jacob Petway was last updated on April 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.