Crescent Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5492 Issued in AZ

Legal business name

CRESCENT CHIROPRACTIC PC

Practice address

9014 N 23Rd Ave Ste 8
Phoenix, AZ 85021-2854

Phone

(602) 861-3339

Fax

(602) 861-3280

NPI assigned

Sep 23, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Russell K Ho Lem, DCNPI 1548295025

Title

President

Phone

(602) 861-3339

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Russell Keith Ho Lem, DC

  • Chiropractor
  • Phoenix, AZ
  • NPI 1548295025
  Medicare reassignment NPD Authorized official
• Allison Leigh Perrin, MD

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1992929624
  NPD (past)

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

{
    "created_epoch": "1316736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317859200000",
    "number": "1013290261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9014 N 23RD AVE STE 8",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850212854",
            "telephone_number": "602-861-3339",
            "fax_number": "602-861-3280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9014 N 23RD AVE STE 8",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850212854",
            "telephone_number": "602-861-3339",
            "fax_number": "602-861-3280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCENT CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-23",
        "last_updated": "2011-10-06",
        "status": "A",
        "authorized_official_last_name": "HO LEM",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-861-3339",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "5492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia M Crellin, M.D.
• Echelle Crenshaw, FNP-C
• Creo Therapy Solutions
• Creosote Counseling
• Amy Zongolowicz Crepeau, M.D.
• Crescent View Family Dental, LLC
• Monica Crespo-Lezama, PHYSICIAN ASSISTANT
• Cresthaven LLC
• Cresthaven Services LLC
• Crestwell Health LLC

• Chiropractor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.