Organization Active NPI

Crossroads Orthotics & Consultation, Inc.

  • Prosthetic/Orthotic Supplier
  • Crawfordsville, IN
National Provider Identifier
1154579597
Registry record updated Nov 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
CROSSROADS ORTHOTICS & CONSULTATION, INC.
Practice address
821 S Washington
Crawfordsville, IN 47933
Phone
(765) 359-0041
Fax
(866) 316-4259
NPI assigned
Aug 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2019

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

Authorized official

Name
Mrs. Chrystal L Frazier
Title
President
Phone
(765) 359-0041

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

821 S Washington
Crawfordsville, IN 47933

Mailing address

821 S Washington
Crawfordsville, IN 47933-3546
Phone (765) 359-0041

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Server

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930010543 IN DME Supplier - Medical Supply CompanyDME Supplier - Medical Supply Company With Orthotic Personnel 0446458939 Practice locations: Crawfordsville, IN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Crossroads Orthotics and Consultati821 S Washington St, Crawfordsville, IN 47933-3546(765) 359-0041 Pneumatic Compression Devices and/or Supplies|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Trea… Does not accept assignmentParticipating since Jan 29, 2009

National Provider Directory

National Provider Directory
Tax ID family
Crossroads Orthotics Consultation Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

821 S Washington St
Crawfordsvlle, IN 47933
Phone (765) 359-0041

NPI Registry JSON

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

{
    "created_epoch": "1219795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572825600000",
    "number": "1154579597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 S WASHINGTON",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "479333546",
            "telephone_number": "765-359-0041",
            "fax_number": "866-316-4259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 S WASHINGTON",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "47933",
            "telephone_number": "765-359-0041",
            "fax_number": "866-316-4259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS ORTHOTICS & CONSULTATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-27",
        "last_updated": "2019-11-04",
        "status": "A",
        "authorized_official_last_name": "FRAZIER",
        "authorized_official_first_name": "CHRYSTAL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "765-359-0041",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Server",
            "affiliation": "N",
            "address_1": "821 S Washington St",
            "city": "Crawfordsville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "479333546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Crawfordsville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.