Crystal Iola Whitaker, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2005035876 Issued in MO

Practice address

2910 Oklahoma Ave
Trenton, MO 64683-3405

Phone

(660) 359-3500

Fax

(660) 359-3511

NPI assigned

Jun 26, 2006

Last updated

May 27, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Crystal Iola Cunningham Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Chirosolutions, PC

  • Chiropractor
  • Trenton, MO
  • NPI 1487699393
  Authorized official Same address or phone

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211846400000",
    "number": "1033146063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3309 LAKE TRENTON DR",
            "city": "TRENTON",
            "state": "MO",
            "postal_code": "646833228",
            "telephone_number": "660-359-3500",
            "fax_number": "660-359-3511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 OKLAHOMA AVE",
            "city": "TRENTON",
            "state": "MO",
            "postal_code": "646833405",
            "telephone_number": "660-359-3500",
            "fax_number": "660-359-3511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITAKER",
        "first_name": "CRYSTAL",
        "middle_name": "IOLA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2008-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2005035876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRYSTAL",
            "last_name": "CUNNINGHAM",
            "middle_name": "IOLA",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Katherine Lee Tudeen, PLPC
• Madison Lynn Vandyke, LMSW
• Kelli R Walker, RN
• Brandy Wedlock
• Jennifer Westcott, LPN
• Damon Max Whitaker, D.C.
• Jerry David Whitaker, D.D.S.
• Tiffany Amber Whorton, APRN, FNP-BC
• Alissa Denise Wiggins, DC
• Danny J Wilford, LPC

• Chiropractor in Trenton, MO
• Providers in Trenton, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.