Active NPI
Jeffrey Allen Crawford, D.C.
- Chiropractor
- Oregon, OH
National Provider Identifier
1003976812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3087
- Practice address
- 860 Ansonia St Ste 116
Oregon, OH 43616-3187 - Phone
- (419) 698-1555
- Fax
- (419) 691-9583
- NPI assigned
- Dec 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3087 | OH | Primary |
Addresses
Primary practice location
860 Ansonia St Ste 116
Oregon, OH 43616-3187
Mailing address
860 Ansonia St Ste 116
Oregon, OH 43616-3187
Phone (419) 698-1555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2261467 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3087 | OH | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402012800000",
"number": "1003976812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "860 ANSONIA ST STE 116",
"city": "OREGON",
"state": "OH",
"postal_code": "436163187",
"telephone_number": "419-698-1555",
"fax_number": "419-691-9583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "860 ANSONIA ST STE 116",
"city": "OREGON",
"state": "OH",
"postal_code": "436163187",
"telephone_number": "419-698-1555",
"fax_number": "419-691-9583"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAWFORD",
"first_name": "JEFFREY",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-11",
"last_updated": "2014-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "3087",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2261467",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oregon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.