Crawfordsville Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08002470A Issued in IN

Legal business name

CRAWFORDSVILLE CHIROPRACTIC, LLC

Practice address

407 E Market St
Ste 102
Crawfordsville, IN 47933-1852

Phone

(765) 362-1500

Fax

(765) 361-8919

NPI assigned

Sep 1, 2011

Last updated

Jan 31, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey R McIntyre, D.C.NPI 1376772525

Title

Owner

Phone

(765) 362-1500

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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.

• Jeffrey R McIntyre, D. C.

  • Chiropractor
  • Anderson, IN
  • NPI 1376772525
  Authorized official Same address or phone

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

{
    "created_epoch": "1314835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422662400000",
    "number": "1104107374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 E MARKET ST",
            "address_2": "STE 102",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "479331852",
            "telephone_number": "765-362-1500",
            "fax_number": "765-361-8919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 E MARKET ST",
            "address_2": "STE 102",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "479331852",
            "telephone_number": "765-362-1500",
            "fax_number": "765-361-8919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAWFORDSVILLE CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-01",
        "last_updated": "2015-01-31",
        "status": "A",
        "authorized_official_last_name": "MCINTYRE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-362-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002470A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201040410A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000729294",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsey Denae Cord, PMHNP
• Madison Corwin, RBT
• Cynthia M Cosenza, R.D., C.D.
• Dalton Dwayne Crabtree, DC
• Crawfordsville Bickford Cottage, LLC
• Crawfordsville Chiroteam, Inc (crawfordsville chiropractic)
• Crawfordsville Community School Corporation
• Crawfordsville Emergency Ambulance Service
• Crawfordsville Emergency Ambulance Service
• Crawfordsville Family Eye Care, Inc

• Chiropractor in Crawfordsville, IN
• Providers in Crawfordsville, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2015; 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.