Individual provider Active NPI

Robert John Crandall Jr., D.C.

  • Chiropractor
  • Beatrice, NE
National Provider Identifier
1245298579
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1178 Issued in NE
Practice address
2526 E Court St
Beatrice, NE 68310-3405
Phone
(402) 228-2777
Fax
(402) 228-2792
NPI assigned
May 3, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1178 NE Primary

Addresses

Primary practice location

2526 E Court St
Beatrice, NE 68310-3405

Mailing address

2526 E Court St
Beatrice, NE 68310-3405
Phone (402) 228-2777

Other identifiers 3

IdentifierTypeStateIssuer
39190567600MedicaidNE
238441OtherNEMIDLAND'S CHOICE
36682OtherNEBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060627000291 NE Practitioner - Chiropractic 8426060153 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2526 Court St
Beatrice, NE 68310-3405
Phone (402) 228-2777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Beatrice Family Chiropractic, PC Chiropractor CurrentSince Jun 1, 2006 Accepting new patients
Absolute Health Chiropractic Clinic LLC Chiropractor PastSince Oct 21, 2008 Accepting new patients
Reed Family Chiropractic PC Chiropractor Past Accepting new patients

Locations

2526 Court St
Beatrice, NE 68310
Phone (308) 672-3171

Organizations & group practices 4

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1245298579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2526 E COURT ST",
            "city": "BEATRICE",
            "state": "NE",
            "postal_code": "683103405",
            "telephone_number": "402-228-2777",
            "fax_number": "402-228-2792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2526 E COURT ST",
            "city": "BEATRICE",
            "state": "NE",
            "postal_code": "683103405",
            "telephone_number": "402-228-2777",
            "fax_number": "402-228-2792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRANDALL",
        "first_name": "ROBERT",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39190567600",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLAND'S CHOICE",
            "identifier": "238441",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "36682",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beatrice, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.