Individual provider Active NPI

Christine Jennifer Crawford, D.C.

  • Chiropractor
  • Grosse Ile, MI
National Provider Identifier
1023038940
Registry record updated Mar 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301008620 Issued in MI
Practice address
7780 Macomb St
Grosse Ile, MI 48138-2201
Phone
(734) 934-6605
NPI assigned
Jul 21, 2006
Last updated
Mar 6, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301008620 MI Primary

Addresses

Primary practice location

7780 Macomb St
Grosse Ile, MI 48138-2201

Mailing address

19207 Coachwood Rd
Riverview, MI 48193-7882
Phone (734) 479-0614

Other identifiers 1

IdentifierTypeStateIssuer
4712948MedicaidMI

Other names 1

  • Mrs. Christine Jennifer Crawford Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050119001110 MI Practitioner - Chiropractic 2163471814 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7780 Macomb St
Grosse Ile, MI 48138-2201
Phone (734) 672-7121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Crawford Chiropractic Clinic PLLC Chiropractor CurrentSince Jun 1, 2020 Accepting new patients
Hofmann Chiropractic Clinic, P.C. Chiropractor PastSince May 12, 1998 Accepting new patients
New Boston Chiropractic Life Center, Corporation Chiropractor PastSince Nov 1, 2015 Accepting new patients
Duzy, PLLC Chiropractor PastSince Jan 4, 2008 Accepting new patients

Locations

7780 Macomb St
Grosse Ile, MI 48138
Phone (734) 672-7121

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583452800000",
    "number": "1023038940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19207 COACHWOOD RD",
            "city": "RIVERVIEW",
            "state": "MI",
            "postal_code": "481937882",
            "telephone_number": "734-479-0614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7780 MACOMB ST",
            "city": "GROSSE ILE",
            "state": "MI",
            "postal_code": "481382201",
            "telephone_number": "734-934-6605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "CHRISTINE",
        "middle_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4712948",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "CRAWFORD",
            "middle_name": "JENNIFER",
            "prefix": "MRS.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grosse Ile, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; 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.