Organization Active NPI

Crews Chiropractic, Inc.

Doing business as Crews Accident & Injury Clinic

  • Chiropractor
  • Shreveport, LA
National Provider Identifier
1306033493
Registry record updated Aug 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1343 Issued in LA
Legal business name
CREWS CHIROPRACTIC, INC.
Doing business as
Crews Accident & Injury Clinic
Practice address
2210 Line Ave
Suite 202
Shreveport, LA 71104-2152
Phone
(318) 220-7688
Fax
(318) 220-7690
NPI assigned
Oct 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2015

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

Authorized official

Name
Dr. Carl Rodney Crews Jr., D.C.
Title
President
Phone
(318) 220-7688

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1343 LA Primary

Addresses

Primary practice location

2210 Line Ave
Suite 202
Shreveport, LA 71104-2152

Mailing address

2210 Line Ave
Suite 202
Shreveport, LA 71104-2152
Phone (318) 220-7688

Other names 1

  • Crews Accident & Injury Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

2210 Line Ave
Ste 202
Shreveport, LA 71104
Phone (318) 220-7688

NPI Registry JSON

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440374400000",
    "number": "1306033493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 LINE AVE",
            "address_2": "SUITE 202",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711042152",
            "telephone_number": "318-220-7688",
            "fax_number": "318-220-7690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 LINE AVE",
            "address_2": "SUITE 202",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711042152",
            "telephone_number": "318-220-7688",
            "fax_number": "318-220-7690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREWS CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2015-08-24",
        "status": "A",
        "authorized_official_last_name": "CREWS",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "RODNEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-220-7688",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crews Accident & Injury Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; 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.