Robert Crandol Spain Jr., D.C., M.ED.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3982 Issued in OH

Practice address

6901 Providence St
Whitehouse, OH 43571-9273

Phone

(419) 877-9919

Fax

(419) 877-9977

NPI assigned

Jan 2, 2007

Last updated

Feb 28, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

State licenses

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

• Sandusky Wellness Center Inc

  • Chiropractor
  • Sandusky, OH
  • NPI 1356486187
  Medicare reassignment

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235779200000",
    "number": "1144387994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6901 PROVIDENCE ST",
            "city": "WHITEHOUSE",
            "state": "OH",
            "postal_code": "435719273",
            "telephone_number": "419-877-9919",
            "fax_number": "419-877-9977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 PROVIDENCE ST",
            "city": "WHITEHOUSE",
            "state": "OH",
            "postal_code": "435719273",
            "telephone_number": "419-877-9919",
            "fax_number": "419-877-9977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPAIN",
        "first_name": "ROBERT",
        "middle_name": "CRANDOL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C., M.ED.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2009-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "E0001922",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristi Jean Robinson, LPT
• Sarah M Roper, LLC
• Sonya Sawyer
• Carol O Seton
• Shumate Dental LLC (Whitehouse Family Dental)
• Charles Dean Tabbert, CRNA
• Ashley Billings Tayloe, DDS
• Village of Whitehouse
• Heather Ann Walters, RN
• Whitehouse Country Manor

• Chiropractor in Whitehouse, OH
• Providers in Whitehouse, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2009; 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.