Individual provider Active NPI

Lawrence W. Crockett, D.C.

  • Chiropractor
  • Cincinnati, OH
National Provider Identifier
1417085408
Registry record updated May 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2402 Issued in OH
Practice address
671 Ohio Pike Ste D
Cincinnati, OH 45245-2136
Phone
(412) 760-5760
Fax
(513) 752-7728
NPI assigned
Mar 1, 2007
Last updated
May 19, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2402 OH Primary

Addresses

Primary practice location

671 Ohio Pike Ste D
Cincinnati, OH 45245-2136

Mailing address

671 Ohio Pike Ste D
Cincinnati, OH 45245-2136
Phone (412) 760-5760

Other names 1

  • Dr. Lawrence W. Crockett Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274227200000",
    "number": "1417085408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 OHIO PIKE STE D",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452452136",
            "telephone_number": "412-760-5760",
            "fax_number": "513-752-7728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "671 OHIO PIKE STE D",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452452136",
            "telephone_number": "412-760-5760",
            "fax_number": "513-752-7728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROCKETT",
        "first_name": "LAWRENCE",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2010-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAWRENCE",
            "last_name": "CROCKETT",
            "middle_name": "W.",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2010; 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.