Organization Active NPI

Ira J Crawford LLC

  • Chiropractor
  • Smithfield, UT
National Provider Identifier
1487873873
Registry record updated Feb 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
368408-1202 Issued in UT
Legal business name
IRA J CRAWFORD LLC
Practice address
1177 S Main St
Smithfield, UT 84335-6764
Phone
(435) 563-6887
Fax
(435) 535-0769
NPI assigned
Apr 24, 2007
Last updated
Feb 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2023

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

Authorized official

Name
Ira CrawfordNPI 1225119837
Title
Managing Member
Phone
(435) 563-6887

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 368408-1202 UT Primary

Addresses

Primary practice location

1177 S Main St
Smithfield, UT 84335-6764

Mailing address

1177 S Main St
Smithfield, UT 84335-6764
Phone (435) 563-6887

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230323001629 UT Part B Supplier - Clinic/Group Practice 3476792334 Receives reassigned benefits from 3 practitioners
Practice locations: Smithfield, UT

National Provider Directory

National Provider Directory

Locations

1177 S Main St
Smithfield, UT 84335
Phone (435) 563-2514

892 S Main St
Smithfield, UT 84335
Phone (435) 535-0780

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1676592000000",
    "number": "1487873873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1177 S MAIN ST",
            "city": "SMITHFIELD",
            "state": "UT",
            "postal_code": "843356764",
            "telephone_number": "435-563-6887",
            "fax_number": "435-535-0769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1177 S MAIN ST",
            "city": "SMITHFIELD",
            "state": "UT",
            "postal_code": "843356764",
            "telephone_number": "435-563-6887",
            "fax_number": "435-535-0769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRA J CRAWFORD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "IRA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "435-563-6887"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "368408-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithfield, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; 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.