Individual provider Active NPI

James Gregory Craine, DC

  • Chiropractor
  • North Wales, PA
National Provider Identifier
1013011188
Registry record updated Oct 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC005595L Issued in PA
Practice address
124 Dekalb Pike
North Wales, PA 19454
Phone
(215) 258-0155
Fax
(215) 258-0112
NPI assigned
Sep 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC005595L PA Primary

Addresses

Primary practice location

124 Dekalb Pike
North Wales, PA 19454

Mailing address

3 Lifemark Drive
Sellersville, PA 18960
Phone (215) 258-0155

Other identifiers 1

IdentifierTypeStateIssuer
01755389MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040929000477 PA Practitioner - Chiropractic 4789653445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

124 Dekalb Pike
Suite 3
North Wales, PA 19454-1853
Phone (215) 699-5502

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Craine Chiropractic, LLC Chiropractor CurrentSince Aug 1, 2017 Accepting new patients

Locations

124 DeKalb Pike
North Wales, PA 19454
Phone (215) 699-3727

124 DeKalb Pike
Ste 3
North Wales, PA 19454
Phone (215) 699-5502

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287532800000",
    "number": "1013011188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 LIFEMARK DRIVE",
            "city": "SELLERSVILLE",
            "state": "PA",
            "postal_code": "18960",
            "telephone_number": "215-258-0155",
            "fax_number": "215-258-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 DEKALB PIKE",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "19454",
            "telephone_number": "215-258-0155",
            "fax_number": "215-258-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAINE",
        "first_name": "JAMES",
        "middle_name": "GREGORY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-11",
        "last_updated": "2010-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC005595L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01755389",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Wales, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.