Individual provider Active NPI

Jeffrey Tanner Crump, DC

  • Chiropractor
  • Lexington, KY
National Provider Identifier
1033791249
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
268716 Issued in KY
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, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7100782640MedicaidKY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260602003255 KY Practitioner - Chiropractic 3173932423 Reassigns benefits to 1 organization

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

OrganizationSpecialtyStatusNew patients
100 Chiro Rodgers Lex, PLLC Chiropractor CurrentSince May 1, 2023 Accepting new patients
Georgetown Integrated Medicine PSC CurrentSince May 1, 2021 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.

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.

Verify at the official NPI Registry.