Crest Chiropractic Clinic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1368 Issued in MN

Legal business name

CREST CHIROPRACTIC CLINIC

Practice address

1497 White Bear Ave N
Saint Paul, MN 55106-2414

Phone

(651) 776-7100

Fax

(651) 776-2415

NPI assigned

Sep 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Charles C Rawlings, DC

Title

Owner

Phone

(651) 776-7100

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189555200000",
    "number": "1285829267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1497 WHITE BEAR AVE N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551062414",
            "telephone_number": "651-776-7100",
            "fax_number": "651-776-2415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1497 WHITE BEAR AVE N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551062414",
            "telephone_number": "651-776-7100",
            "fax_number": "651-776-2415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREST CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-12",
        "last_updated": "2007-09-12",
        "status": "A",
        "authorized_official_last_name": "RAWLINGS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-776-7100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "1368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Creative Inversion
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• Crestview Health Center (Crestview Healthcare)
• Gerald Patrick Crimmins, PSYD CP
• Anali Crispin Ballesteros
• Anna Lee Crittenden

• Chiropractor in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.