Organization Active NPI

Your Familys Chiropractic

  • Chiropractor
  • Duncan, SC
National Provider Identifier
1134312630
Registry record updated Oct 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
YOUR FAMILYS CHIROPRACTIC
Practice address
123 W Main St
Duncan, SC 29334-9369
Phone
(864) 949-5550
Fax
(864) 949-5551
NPI assigned
Aug 20, 2007
Last updated
Oct 28, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2010

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

Authorized official

Name
Robert J Crockford, DCNPI 1457544959
Title
Owner
Phone
(864) 949-5550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

123 W Main St
Duncan, SC 29334-9369

Mailing address

68 Global Dr
Suite 100
Greenville, SC 29607-4628
Phone (864) 644-2700

Other identifiers 1

IdentifierTypeStateIssuer
CH3281MedicaidSC

National Provider Directory

National Provider Directory

Locations

175 W Main St
Duncan, SC 29334
Phone (864) 363-4685

Practitioners & affiliated clinicians

Practitioners 2

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": "1187568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288224000000",
    "number": "1134312630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 GLOBAL DR",
            "address_2": "SUITE 100",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296074628",
            "telephone_number": "864-644-2700",
            "fax_number": "864-644-2709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 W MAIN ST",
            "city": "DUNCAN",
            "state": "SC",
            "postal_code": "293349369",
            "telephone_number": "864-949-5550",
            "fax_number": "864-949-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR FAMILYS CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-20",
        "last_updated": "2010-10-28",
        "status": "A",
        "authorized_official_last_name": "CROCKFORD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-949-5550",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH3281",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Duncan, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; 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.