Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jay L. Pettis, DC

Individual provider Chiropractor · NPI 1548215320

Dr. Jay L. Pettis, DC is a Chiropractic in Eagan, Minnesota. Graduated from Northwestern College of Chiropractic in 2003, 23 years ago. Accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
23
Trained at
Northwestern College of Chiropractic
Licensed in
MN
In the registry since
2006
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

1570 Century Pt
Eagan, MN 55121
Phone: (651) 405-3990
Fax: (651) 405-6627
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 4807 (MN)

Record details

NPI number1548215320
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedMay 23, 2006
Last updated in NPPESNovember 16, 2007
Mailing address1570 Century Point, Eagan, MN 55121

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolNORTHWESTERN COLLEGE OF CHIROPRACTIC
Graduated 2003 (23 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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