Active NPI
Jeffrey Tanner Crump, DC
- Chiropractor
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 268716
- Practice address
- 161 Lexington Green Cir Ste B15
Lexington, KY 40503-3379 - Phone
- (719) 487-3170
- NPI assigned
- Apr 27, 2021
- Last updated
- Nov 30, 2022
- Sex
- Male
- Sole proprietor
- No
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 | 268716 | KY | Primary |
Addresses
Primary practice location
161 Lexington Green Cir Ste B15
Lexington, KY 40503-3379
Mailing address
508 Franklin CT
Ashland, KY 41101-2152
Phone (606) 923-6208
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100782640 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2107 Weber Ave
Louisville, KY 40205-2165
PO Box
Suite 896
Winchester, KY 40392
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 100 Chiro Rodgers Lex, PLLC | Chiropractor | Current | Accepting new patients |
| Georgetown Integrated Medicine PSC | Current | Accepting new patients |
Locations
108 Osborne Way
Ste 6
Georgetown, KY 40324
Phone (502) 316-6533
161 Lexington Green Cir
Ste 133
Lexington, KY 40503
Phone (859) 800-5191
161 Lexington Green Cir
Ste B15
Lexington, KY 40503
Phone (719) 487-3170
Organizations & group practices 3
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.
-
dba Skye Chiropractic at Bardstown Road
- Chiropractor
- Louisville, KY
- NPI 1235533944
-
- Chiropractor
- Lexington, KY
- NPI 1033846001
-
- Adult Medicine Physician
- Georgetown, KY
- NPI 1346640208
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669766400000",
"number": "1033791249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "508 FRANKLIN CT",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411012152",
"telephone_number": "606-923-6208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 LEXINGTON GREEN CIR STE B15",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405033379",
"telephone_number": "719-487-3170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUMP",
"first_name": "JEFFREY",
"middle_name": "TANNER",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-27",
"last_updated": "2022-11-30",
"certification_date": "2022-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KY",
"license": "268716",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100782640",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; 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.