Individual provider Active NPI

Joseph Murphy Crum Sr., D.C.

  • Chiropractor
  • Boardman, OH
National Provider Identifier
1184622102
Registry record updated Feb 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
818 Issued in OH
Practice address
945 Boardman Canfield Rd
Suite 11
Boardman, OH 44512-4237
Phone
(330) 726-8164
Fax
(330) 726-8652
NPI assigned
Jul 13, 2005
Last updated
Feb 17, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 82000818 OH
Chiropractor 111N00000X 818 OH Primary

Addresses

Primary practice location

945 Boardman Canfield Rd
Suite 11
Boardman, OH 44512-4237

Mailing address

945 Boardman Canfield Road
Suite 11
Boardman, OH 44512-4237
Phone (330) 726-8164

Other identifiers 5

IdentifierTypeStateIssuer
6253290001OtherOHDMEPOS
341375046OtherOHFEDERAL TAX ID
34137504600OtherOHOH BWC ID NUMBER
000000131152OtherOHANTHEM PIN NUMBER
0419372MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111121000976 OH Practitioner - Chiropractic 0143429993 Reassigns benefits to 1 organization
Practice locations: Boardman, OH

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Chiropractic and Rehab, Inc.Group PAC ID 7618022633, 3 clinicians

Practice addresses (Care Compare)

755 Boardman Canfield Rd
P1
Boardman, OH 44512-7325
Phone (330) 726-7404

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
82000818OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Chiropractic & Rehab, Inc. CurrentSince May 1, 2017 Accepting new patients

Locations

730 N Main St
Hubbard, OH 44425
Phone (330) 259-0788

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266364800000",
    "number": "1184622102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 BOARDMAN CANFIELD ROAD",
            "address_2": "SUITE 11",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445124237",
            "telephone_number": "330-726-8164",
            "fax_number": "330-726-8652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 BOARDMAN CANFIELD RD",
            "address_2": "SUITE 11",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445124237",
            "telephone_number": "330-726-8164",
            "fax_number": "330-726-8652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUM",
        "first_name": "JOSEPH",
        "middle_name": "MURPHY",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2010-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "82000818",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMEPOS",
            "identifier": "6253290001",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID",
            "identifier": "341375046",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OH BWC ID NUMBER",
            "identifier": "34137504600",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN NUMBER",
            "identifier": "000000131152",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0419372",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boardman, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2010; 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.