Healthy Back, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2132 Issued in NC

Legal business name

HEALTHY BACK, INC.

Doing business as

Cromshaw Chiropractic Center

Practice address

304 Village Road
Leland, NC 28451-1378

Phone

(910) 371-2525

Fax

(910) 371-5922

NPI assigned

Oct 31, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Gilbert Deitz Cromshaw, D.C.

Title

Owner

Phone

(910) 371-2525

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Cromshaw Chiropractic Center Doing business as

Locations

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191196800000",
    "number": "1265518229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1378",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284511378",
            "telephone_number": "910-371-2525",
            "fax_number": "910-371-5922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 VILLAGE ROAD",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284511378",
            "telephone_number": "910-371-2525",
            "fax_number": "910-371-5922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY BACK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2007-10-01",
        "status": "A",
        "authorized_official_last_name": "CROMSHAW",
        "authorized_official_first_name": "GILBERT",
        "authorized_official_middle_name": "DEITZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-371-2525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "790183L",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cromshaw Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel Jesson Hartley, DNP, FNP-BC, APRN
• Deborah A Hayden, O.D.
• Healing Is Possible PLLC
• Healthcare Business Reps LLC
• Healthsource of Leland, PLLC
• Sara Beth Henderson, PTA
• Amanda B Hendrix, O.D.
• Jenna Hester, PA-C
• High Tide Chiropractic PLLC
• Allison Sandra Hindt, PA-C

• Chiropractor in Leland, NC
• Providers in Leland, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; 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.