NPIMap

Organization Active NPI

Peggy Kiser Crouch DC PLLC

  • Chiropractor
  • Charleston, WV
National Provider Identifier
1225130453
Registry record updated Apr 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
383 Issued in WV
Legal business name
PEGGY KISER CROUCH DC PLLC
Practice address
308 Patrick Street PLZ
Charleston, WV 25387-2439
Phone
(304) 344-9077
Fax
(304) 344-3587
NPI assigned
Sep 1, 2006
Last updated
Apr 25, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2012

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

Authorized official

Name
Peggy Kiser Crouch, DCNPI 1902864424
Title
Chiropractic Physician
Phone
(304) 344-9077

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 383 WV Primary

Addresses

Primary practice location

308 Patrick Street PLZ
Charleston, WV 25387-2439

Mailing address

308 Patrick Street PLZ
Charleston, WV 25387-2439
Phone (304) 344-9077

Other identifiers 2

IdentifierTypeStateIssuer
001708536OtherWVMSBCBS
43157157OtherAETNA

National Provider Directory

National Provider Directory

Locations

308 Hills Plz
Charleston, WV 25387
Phone (304) 344-9077

Interoperability endpoints

  • Direct secure messaging: emumcsstchr35@pkdp0001.direct.chirotouch.md

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": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335312000000",
    "number": "1225130453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 PATRICK STREET PLZ",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253872439",
            "telephone_number": "304-344-9077",
            "fax_number": "304-344-3587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 PATRICK STREET PLZ",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253872439",
            "telephone_number": "304-344-9077",
            "fax_number": "304-344-3587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEGGY KISER CROUCH DC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2012-04-25",
        "status": "A",
        "authorized_official_last_name": "KISER CROUCH",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "304-344-9077",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WV",
            "license": "383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MSBCBS",
            "identifier": "001708536",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "43157157",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; 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.