Organization Active NPI

Crawford Chiropractic, Inc.

  • Chiropractor
  • Stockton, CA
National Provider Identifier
1477863694
Registry record updated Oct 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
16323 Issued in CA
Legal business name
CRAWFORD CHIROPRACTIC, INC.
Practice address
2027 W March LN
Suite 1
Stockton, CA 95207-6418
Phone
(209) 474-2252
Fax
(209) 474-1497
NPI assigned
Oct 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2010

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

Authorized official

Name
Dr. Brian Wayne Crawford, D.C.
Title
Pres/Chiropractor
Phone
(209) 474-2252

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 16323 CA Primary

Addresses

Primary practice location

2027 W March LN
Suite 1
Stockton, CA 95207-6418

Mailing address

2027 W March LN
Suite 1
Stockton, CA 95207-6418
Phone (209) 474-2252

Other identifiers 1

IdentifierTypeStateIssuer
2889228MedicaidCA

National Provider Directory

National Provider Directory

Locations

2027 W March Ln
Ste 1
Stockton, CA 95207
Phone (209) 474-2252

NPI Registry JSON

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

{
    "created_epoch": "1287619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287619200000",
    "number": "1477863694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2027 W MARCH LN",
            "address_2": "SUITE 1",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076418",
            "telephone_number": "209-474-2252",
            "fax_number": "209-474-1497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2027 W MARCH LN",
            "address_2": "SUITE 1",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076418",
            "telephone_number": "209-474-2252",
            "fax_number": "209-474-1497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAWFORD CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-21",
        "last_updated": "2010-10-21",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRES/CHIROPRACTOR",
        "authorized_official_telephone_number": "209-474-2252",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "16323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2889228",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.