Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1184707465 Deactivated / Inactive NPI Male Practitioner

Dr. John Elton Petty , DC

Chiropractor • Longview, TX

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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. John Petty has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 23, 2006
NPI Deactivation Date April 09, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. John Petty, DC was a registered Chiropractor practicing in Longview, TX. Throughout an active medical career spanning 13 years, Dr. Petty provided care at the practice location at 452 FOREST SQUARE until profile deactivation on 2019-04-09.

Practice Location & Contact Primary Location

Practice Address

452 Forest Square

Longview, TX 75605

Telephone 9037573400
Fax 9037539663
Associated Practice Facility / Clinic
🏢 John E Petty Dc Pc Facility NPI 1821121872

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Longview, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 32.8 Yrs
State Avg: 22.3 Yrs
Regional Practice Density
37 Specialists

Practicing in Longview, TX (7266 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 TX 2365

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1184728693

Doctor of Chiropractic

Kelly Lindsay

Massage Therapist

NPI 1902208226

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated April 09, 2019

Record deactivated on April 09, 2019

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 452 FOREST SQUARE, LONGVIEW, TX 75605 (Tel: 9037573400)

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Updated Business Mailing Address July 08, 2007

Registered at 452 FOREST SQUARE, LONGVIEW, TX 75605 (Tel: 9037573400)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN PETTY, DC

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

Chiropractor (License #2365 in TX)

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Initial NPI Registration & Enumeration October 23, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1184707465
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 23, 2006
Last Update: July 08, 2007
Deactivation Date: April 09, 2019

Mailing Address

452 Forest Square

Longview, TX 75605

Phone: 9037573400

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.