NPIMap

Organization Active NPI

Crossroads Chiropractic Clinic

  • Chiropractor
  • Abilene, TX
National Provider Identifier
1205956786
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4562 Issued in TX
Legal business name
CROSSROADS CHIROPRACTIC CLINIC
Practice address
4102 Buffalo Gap Rd
Suite a
Abilene, TX 79605-7248
Phone
(325) 695-0090
Fax
(325) 695-0091
NPI assigned
Mar 30, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Lee W. Summers, DCNPI 1417048588
Title
Qwner
Phone
(325) 695-0090

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4562 TX Primary

Addresses

Primary practice location

4102 Buffalo Gap Rd
Suite a
Abilene, TX 79605-7248

Mailing address

4102 Buffalo Gap Rd
Suite a
Abilene, TX 79605-7248
Phone (325) 695-0090

National Provider Directory

National Provider Directory

Locations

4102 Buffalo Gap Rd
Ste A
Abilene, TX 79605
Phone (325) 695-0090

Practitioners & affiliated clinicians

Practitioners 1

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": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205956786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4102 BUFFALO GAP RD",
            "address_2": "SUITE A",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796057248",
            "telephone_number": "325-695-0090",
            "fax_number": "325-695-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4102 BUFFALO GAP RD",
            "address_2": "SUITE A",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796057248",
            "telephone_number": "325-695-0090",
            "fax_number": "325-695-0091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SUMMERS",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "QWNER",
        "authorized_official_telephone_number": "325-695-0090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "4562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.