Organization Active NPI

King Chiropractic Clinic PC

  • Chiropractor
  • Ringgold, GA
National Provider Identifier
1346469798
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4681 Issued in GA
Legal business name
KING CHIROPRACTIC CLINIC PC
Practice address
4205 Cloud Springs Rd
Ringgold, GA 30736
Phone
(706) 891-1011
Fax
(706) 891-1013
NPI assigned
Apr 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John D Crawford, D.C.NPI 1073658555
Title
President
Phone
(706) 891-1011

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4681 GA Primary

Addresses

Primary practice location

4205 Cloud Springs Rd
Ringgold, GA 30736

Mailing address

PO Box 2190
Ft Oglethorpe, GA 30742-0190
Phone (706) 891-1011

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080514000471 GA Part B Supplier - Clinic/Group Practice 9931278165 Receives reassigned benefits from 1 practitioner
Practice locations: Ringgold, GA

National Provider Directory

National Provider Directory

Locations

4217 Cloud Springs Rd
Ringgold, GA 30736
Phone (706) 891-1011

4205 Cloud Springs Rd
Ringgold, GA 30736
Phone (706) 891-1011

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346469798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2190",
            "city": "FT OGLETHORPE",
            "state": "GA",
            "postal_code": "307420190",
            "telephone_number": "706-891-1011",
            "fax_number": "706-891-1013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4205 CLOUD SPRINGS RD",
            "city": "RINGGOLD",
            "state": "GA",
            "postal_code": "30736",
            "telephone_number": "706-891-1011",
            "fax_number": "706-891-1013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING CHIROPRACTIC CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-891-1011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "4681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ringgold, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.