Organization Active NPI

Crouse Chiropractic, PLLC

  • Chiropractor
  • Hickory, NC
National Provider Identifier
1083951339
Registry record updated Jan 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3390 Issued in NC
Legal business name
CROUSE CHIROPRACTIC, PLLC
Practice address
929 15TH St NE
Suite 200
Hickory, NC 28601-4161
Phone
(828) 327-4882
Fax
(828) 327-3983
NPI assigned
Jan 7, 2013
Last updated
Jan 7, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2013

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

Authorized official

Name
Dr. Joseph Matthew Crouse, DCNPI 1023081270
Title
MBR/MGR
Phone
(828) 327-4882

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3390 NC Primary

Addresses

Primary practice location

929 15TH St NE
Suite 200
Hickory, NC 28601-4161

Mailing address

929 15TH St NE
Suite 200
Hickory, NC 28601-4161
Phone (828) 327-4882

Other identifiers 1

IdentifierTypeStateIssuer
5902800MedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130312000039 NC Part B Supplier - Clinic/Group Practice 8426203720 Receives reassigned benefits from 1 practitioner
Practice locations: Hickory, NC

National Provider Directory

National Provider Directory

Locations

915 Tate Blvd SE
Ste 112
Hickory, NC 28602
Phone (828) 327-4882

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1357516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357516800000",
    "number": "1083951339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 15TH ST NE",
            "address_2": "SUITE 200",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286014161",
            "telephone_number": "828-327-4882",
            "fax_number": "828-327-3983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 15TH ST NE",
            "address_2": "SUITE 200",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286014161",
            "telephone_number": "828-327-4882",
            "fax_number": "828-327-3983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROUSE CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-07",
        "last_updated": "2013-01-07",
        "status": "A",
        "authorized_official_last_name": "CROUSE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "MBR/MGR",
        "authorized_official_telephone_number": "828-327-4882",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5902800",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; 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.