Organization Active NPI

Crenshaw Chiropractic Center, P.C.

  • Chiropractor
  • Cottonwood, AZ
National Provider Identifier
1306844543
Registry record updated Apr 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
699 Issued in AZ
Legal business name
CRENSHAW CHIROPRACTIC CENTER, P.C.
Practice address
544 S 6TH St
Suite 105
Cottonwood, AZ 86326-6142
Phone
(928) 634-3689
Fax
(928) 634-7382
NPI assigned
Jul 12, 2005
Last updated
Apr 12, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2011

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

Authorized official

Name
Dr. Dennis Crenshaw, D.C.
Title
Owner/President
Phone
(928) 634-3689

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 699 AZ Primary

Addresses

Primary practice location

544 S 6TH St
Suite 105
Cottonwood, AZ 86326-6142

Mailing address

PO Box 1681
Cottonwood, AZ 86326-1681
Phone (928) 634-3689

Other identifiers 1

IdentifierTypeStateIssuer
AZ0931150OtherAZBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

411 S 14th St
Ste 103
Cottonwood, AZ 86326
Phone (928) 634-3689

544 S 6th St
Ste 101
Cottonwood, AZ 86326
Phone (928) 634-3689

544 S 6th St
Ste 105
Cottonwood, AZ 86326
Phone (928) 634-3689

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302566400000",
    "number": "1306844543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1681",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863261681",
            "telephone_number": "928-634-3689",
            "fax_number": "928-634-7382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "544 S 6TH ST",
            "address_2": "SUITE 105",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863266142",
            "telephone_number": "928-634-3689",
            "fax_number": "928-634-7382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRENSHAW CHIROPRACTIC CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-12",
        "last_updated": "2011-04-12",
        "status": "A",
        "authorized_official_last_name": "CRENSHAW",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "928-634-3689",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0931150",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottonwood, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; 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.