Charles Frederick Crandall, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH 7804 Issued in FL

Practice address

1501 Lakeview Rd
Clearwater, FL 33756-3647

Phone

(727) 447-6779

Fax

(727) 462-2634

NPI assigned

Apr 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

National College of Chiropractic, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Charles F Crandall DC PA

  • Chiropractor
  • Clearwater, FL
  • NPI 1720477763
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1215993670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 LAKEVIEW RD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563647",
            "telephone_number": "727-447-6779",
            "fax_number": "727-462-2634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 LAKEVIEW RD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563647",
            "telephone_number": "727-447-6779",
            "fax_number": "727-462-2634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRANDALL",
        "first_name": "CHARLES",
        "middle_name": "FREDERICK",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 7804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas Edward Craddock, LMHC, LPCC
• Craig Baker DMD PL
• Charles Patrick Craig, DC
• Stephanie Craig
• Julia Ann Cramer, CRNA
• Katlyn Renee Crandall, M.A, CCC-SLP
• Sarah Crandall
• Lee-J Craun, RPH
• Ashanti Crawford
• Lori Ann Crawford, LMT,REFLEXOLOGIST

• Chiropractor in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.