Active NPI
Terry Steven Crowder, D. C.
- Chiropractor
- McKinney, TX
National Provider Identifier
1306920004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3091
- Practice address
- 1502 W University Dr
Suite 107
McKinney, TX 75069-3441 - Phone
- (972) 562-0674
- Fax
- (972) 542-0710
- NPI assigned
- Oct 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3091 | TX | Primary |
Addresses
Primary practice location
1502 W University Dr
Suite 107
McKinney, TX 75069-3441
Mailing address
1502 W University Dr
Suite 107
McKinney, TX 75069-3441
Phone (972) 562-0674
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050727000306 | TX | Practitioner - Chiropractic | 5395773832 | Practice locations: McKinney, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Kansas City, 1983
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1502 W University Dr
Suite 107
McKinney, TX 75069-3443
Phone (972) 562-0674
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03091 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306920004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1502 W UNIVERSITY DR",
"address_2": "SUITE 107",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750693441",
"telephone_number": "972-562-0674",
"fax_number": "972-542-0710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1502 W UNIVERSITY DR",
"address_2": "SUITE 107",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750693441",
"telephone_number": "972-562-0674",
"fax_number": "972-542-0710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROWDER",
"first_name": "TERRY",
"middle_name": "STEVEN",
"name_prefix": "Dr.",
"credential": "D. C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "3091",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McKinney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.