Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1003969007 Deactivated / Inactive NPI Male Practitioner

Dr. Dwight C Petry , DC

Chiropractor • Anaheim, CA

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Dwight Petry has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 21, 2007
NPI Deactivation Date May 18, 2020
Total Practice Duration ~13 Years of Practice (2007 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Dwight Petry, DC was a registered Chiropractor practicing in Anaheim, CA. Throughout an active medical career spanning 13 years, Dr. Petry provided care at the practice location at 1601 S EUCLID ST until profile deactivation on 2020-05-18.

Practice Location & Contact Primary Location

Practice Address

1601 S Euclid St

Anaheim, CA 928022406

Telephone 7147784548

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Anaheim, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 28.5 Yrs
State Avg: 27.5 Yrs
Regional Practice Density
95 Specialists

Practicing in Anaheim, CA (12100 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License CA DC 8647

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated May 18, 2020

Record deactivated on May 18, 2020

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1601 S EUCLID ST, ANAHEIM, CA 928022406 (Tel: 7147784548)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1601 S EUCLID ST, ANAHEIM, CA 928022406 (Tel: 7147784548)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as DWIGHT PETRY, DC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Chiropractor (License #DC 8647 in CA)

🟢
Initial NPI Registration & Enumeration January 21, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Dwight Petry. Be the first to share your experience!

Sign in to leave a review for Dr. Dwight Petry

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1003969007
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 21, 2007
Last Update: July 08, 2007
Deactivation Date: May 18, 2020

Mailing Address

1601 S Euclid St

Anaheim, CA 928022406

Phone: 7147784548

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.