Active NPI
Gary Mark Crank
- Rehabilitation Chiropractor
- Attleboro, MA
National Provider Identifier
1245366053
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(14) exclusion effective Nov 20, 2008.
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 1241
- Practice address
- 707 Newport Ave
Attleboro, MA 02703-5932 - Phone
- (508) 761-5333
- Fax
- (508) 761-5333
- NPI assigned
- Feb 26, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 1241 | MA | Primary |
Addresses
Primary practice location
707 Newport Ave
Attleboro, MA 02703-5932
Mailing address
1076 West St
Attleboro, MA 02703-4406
Phone (508) 761-5333
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4400799 | Other | MA | UNITED HEALTHCARE |
| 408786 | Other | MA | B.C.B.S. RI |
| Y36098 | Other | MA | B.C.B.S. MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1241 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245366053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1076 WEST ST",
"city": "ATTLEBORO",
"state": "MA",
"postal_code": "027034406",
"telephone_number": "508-761-5333",
"fax_number": "508-761-5333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 NEWPORT AVE",
"city": "ATTLEBORO",
"state": "MA",
"postal_code": "027035932",
"telephone_number": "508-761-5333",
"fax_number": "508-761-5333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRANK",
"first_name": "GARY",
"middle_name": "MARK",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "MA",
"license": "1241",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "4400799",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "B.C.B.S. RI",
"identifier": "408786",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "B.C.B.S. MA",
"identifier": "Y36098",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Attleboro, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.