Individual provider Active NPI

Craig Alan Hazlewood, D.C.

  • Chiropractor
  • York, SC
National Provider Identifier
1245281609
Registry record updated May 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2989 Issued in SC
Practice address
622 E Liberty St
York, SC 29745-1605
Phone
(803) 818-5522
Fax
(803) 818-5523
NPI assigned
May 12, 2006
Last updated
May 2, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2989 SC Primary

Addresses

Primary practice location

622 E Liberty St
York, SC 29745-1605

Mailing address

622 E Liberty St
York, SC 29745-1605
Phone (803) 818-5522

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050308001042 SC Practitioner - Chiropractic 9830143734 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

622 Liberty St E
York, SC 29745-1605
Phone (803) 818-5522

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2989SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hazlewood Chiropractic Clinic LLC Chiropractor CurrentSince Jan 2, 2015 Accepting new patients
Werner Inc Chiropractor Past Accepting new patients
Chester Family Chiropractic Center P C Chiropractor PastSince Sep 4, 1991 Accepting new patients

Locations

622 Liberty St E
York, SC 29745
Phone (803) 818-5522

Organizations & group practices 3

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304294400000",
    "number": "1245281609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 E LIBERTY ST",
            "city": "YORK",
            "state": "SC",
            "postal_code": "297451605",
            "telephone_number": "803-818-5522",
            "fax_number": "803-818-5523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 E LIBERTY ST",
            "city": "YORK",
            "state": "SC",
            "postal_code": "297451605",
            "telephone_number": "803-818-5522",
            "fax_number": "803-818-5523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZLEWOOD",
        "first_name": "CRAIG",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2011-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2011; 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.