Organization Active NPI

Crowder Family Chiropractic LLC

  • Chiropractor
  • Schererville, IN
National Provider Identifier
1144612706
Registry record updated Mar 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002491A Issued in IN
Legal business name
CROWDER FAMILY CHIROPRACTIC LLC
Practice address
11 E Joliet St
Schererville, IN 46375-2010
Phone
(219) 864-8284
Fax
(219) 864-8280
NPI assigned
Feb 19, 2015
Last updated
Mar 19, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2015

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

Authorized official

Name
Dr. James Crowder Jr.NPI 1659601698
Title
Owner/President
Phone
(219) 669-8907

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08002491A IN Primary

Addresses

Primary practice location

11 E Joliet St
Schererville, IN 46375-2010

Mailing address

9922 Arthur CT
Crown Point, IN 46307-2357
Phone (219) 669-8907

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150417001356 IN Part B Supplier - Clinic/Group Practice 5092033225 Receives reassigned benefits from 2 practitioners
Practice locations: Schererville, IN

National Provider Directory

National Provider Directory

Locations

11 E Joliet St
Schererville, IN 46375
Phone (219) 661-8680

Practitioners & affiliated clinicians

Practitioners 4

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": "1424304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426723200000",
    "number": "1144612706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9922 ARTHUR CT",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463072357",
            "telephone_number": "219-669-8907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 E JOLIET ST",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463752010",
            "telephone_number": "219-864-8284",
            "fax_number": "219-864-8280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWDER FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-19",
        "last_updated": "2015-03-19",
        "status": "A",
        "authorized_official_last_name": "CROWDER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "219-669-8907",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002491A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schererville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; 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.