Active NPI
Michael Allen Crandall, D.C.
- Rehabilitation Chiropractor
- Levittown, PA
National Provider Identifier
1104048602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- DC008924
- Practice address
- 1609 Woodbourne Rd
Levittown, PA 19057-1500 - Phone
- (215) 945-2100
- Fax
- (215) 945-2192
- NPI assigned
- May 3, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | DC008924 | PA | Primary |
Addresses
Primary practice location
1609 Woodbourne Rd
Levittown, PA 19057-1500
Mailing address
1701 Waterford Rd
Yardley, PA 19067-5427
Phone (215) 932-7933
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1446589 | Other | PA | HIGHMARK BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC008924 | PA | MD | Rehabilitation Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104048602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 WATERFORD RD",
"city": "YARDLEY",
"state": "PA",
"postal_code": "190675427",
"telephone_number": "215-932-7933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1609 WOODBOURNE RD",
"city": "LEVITTOWN",
"state": "PA",
"postal_code": "190571500",
"telephone_number": "215-945-2100",
"fax_number": "215-945-2192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRANDALL",
"first_name": "MICHAEL",
"middle_name": "ALLEN",
"name_prefix": "Mr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "PA",
"license": "DC008924",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "1446589",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Levittown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.