Stephen Rodney Crane, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA 1084 Issued in ID

Practice address

9762 W State St
Star, ID 83669-5766

Phone

(208) 286-7733

Fax

(208) 392-1940

NPI assigned

Feb 13, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sarah Wolverton

  • Chiropractor
  • Boise, ID
  • NPI 1518022490
  NPD (past)

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457827200000",
    "number": "1104968411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9762 W STATE ST",
            "city": "STAR",
            "state": "ID",
            "postal_code": "836695766",
            "telephone_number": "208-286-7733",
            "fax_number": "208-392-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9762 W STATE ST",
            "city": "STAR",
            "state": "ID",
            "postal_code": "836695766",
            "telephone_number": "208-286-7733",
            "fax_number": "208-392-1940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRANE",
        "first_name": "STEPHEN",
        "middle_name": "RODNEY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2016-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA 1084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000010147777",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "C4173",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paige Elizabeth Casey, M.S
• Lily Caywood, M.S.
• Dakotah Antony Cole, LCSW
• James Everett Collings
• Crista Conboy, BCBA
• Lindsey E. Decloss, M.S.P.T.
• Melinda Demember
• Carson Steven Dial, DMD
• Direct Surgical Assist PA
• Elmer G Dodge Jr., FNP

• All providers in Star, ID
• Chiropractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2016; 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.