Active NPI
Crystal Chiropractic PC
- Chiropractor
- Hendersonville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC00000762
- Legal business name
- CRYSTAL CHIROPRACTIC PC
- Practice address
- 109 Maple Row Blvd
Suite 2
Hendersonville, TN 37075-1605 - Phone
- (615) 822-1922
- Fax
- (615) 822-1926
- NPI assigned
- Aug 20, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Keith B Crystal, D.C.
- Title
- Doctor of Chiropractic
- Phone
- (615) 822-1922
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC00000762 | TN | Primary |
Addresses
Primary practice location
109 Maple Row Blvd
Suite 2
Hendersonville, TN 37075-1605
Mailing address
109 Maple Row Blvd
Suite 2
Hendersonville, TN 37075-1605
Phone (615) 822-1922
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Crystal Chiropractic
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Chiropractor
- Hendersonville, TN
- NPI 1538338686
Locations
109 Maple Row Blvd
#2
Hendersonville, TN 37075
Phone (615) 822-1922
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Hendersonville, TN
- NPI 1255350393
-
- Chiropractor
- Hendersonville, TN
- NPI 1417981499
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219190400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1219190400000",
"number": "1487801569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 MAPLE ROW BLVD",
"address_2": "SUITE 2",
"city": "HENDERSONVILLE",
"state": "TN",
"postal_code": "370751605",
"telephone_number": "615-822-1922",
"fax_number": "615-822-1926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 MAPLE ROW BLVD",
"address_2": "SUITE 2",
"city": "HENDERSONVILLE",
"state": "TN",
"postal_code": "370751605",
"telephone_number": "615-822-1922",
"fax_number": "615-822-1926"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRYSTAL CHIROPRACTIC PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-20",
"last_updated": "2008-08-20",
"status": "A",
"authorized_official_last_name": "CRYSTAL",
"authorized_official_first_name": "KEITH",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
"authorized_official_telephone_number": "615-822-1922",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "TN",
"license": "DC00000762",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hendersonville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; 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.