Individual provider Active NPI

Evan R Crowley, DC

  • Chiropractor
  • Cary, NC
National Provider Identifier
1285232173
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5091 Issued in NC
Practice address
280 Meeting St Ste 104
Cary, NC 27518-6902
Phone
(919) 234-5533
NPI assigned
Oct 13, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5091 NC Primary

Addresses

Primary practice location

280 Meeting St Ste 104
Cary, NC 27518-6902

Mailing address

2929 Golden Oak CT
Raleigh, NC 27603-5814
Phone (919) 593-6351

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241024003771 NC Practitioner - Chiropractic 3870026172 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Gard Chiropractic and Acupuncture PLLCGroup PAC ID 5799934758, 2 clinicians

Practice addresses (Care Compare)

455 Swiftside Dr
Suite 103
Cary, NC 27518-7200
Phone (919) 322-4383

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5091NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Gard Chiropractic & Acupuncture PLLC Chiropractor CurrentSince Jul 29, 2024 Accepting new patients

Locations

455 Swiftside Dr
Ste 103
Cary, NC 27518
Phone (919) 322-4383

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1285232173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 GOLDEN OAK CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276035814",
            "telephone_number": "919-593-6351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 MEETING ST STE 104",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275186902",
            "telephone_number": "919-234-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROWLEY",
        "first_name": "EVAN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-13",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "5091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; 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.