Central State Chiropractic & Rehabilitation

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038.008791 Issued in IL

Legal business name

CENTRAL STATE CHIROPRACTIC & REHABILITATION

Practice address

2101 Windsor PL
Champaign, IL 61820-7769

Phone

(217) 398-2225

Fax

(217) 398-2224

NPI assigned

Apr 1, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Brian Burnett Crawford, D.C.NPI 1972692671

Title

Owner

Phone

(217) 398-2225

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian Burnett Crawford, DC

  • Chiropractor
  • Champaign, IL
  • NPI 1972692671
  NPD (past) Authorized official

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

{
    "created_epoch": "1270080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270080000000",
    "number": "1194040121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 WINDSOR PL",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618207769",
            "telephone_number": "217-398-2225",
            "fax_number": "217-398-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 WINDSOR PL",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618207769",
            "telephone_number": "217-398-2225",
            "fax_number": "217-398-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL STATE CHIROPRACTIC & REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-01",
        "last_updated": "2010-04-01",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "BURNETT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-398-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.008791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS / BLUE SHIELD",
            "identifier": "01022961",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Siegfred T. Celis
• Center for Health Renewal and Longevity LLC
• Central Illinois Diagnostic Imaging Center, LLC
• Central Illinois Oral and Maxillofacial Surgery, PC (Champaign Oral Surgery Center)
• Central Illinois Oral and Maxiofacial Surgery, PC (Dr. Firas Ali, DMD)
• Litzi Ceron-Conde
• Patty Cetin, M.S., CCC-SLP
• Swathi Chalasani, MD
• Suzanna Elizabeth Challen, PHD(NONCLINICAL)LCSW
• Chambana Urgent Care and Walk in Clinic

• Chiropractor in Champaign, IL
• Providers in Champaign, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.