Ira J Crawford LLC
Organization Active NPI Chiropractor · Smithfield, UT
NPI 1487873873 · NPPES record last updated Feb 17, 2023
Key facts
- NPI
- 1487873873
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 368408-1202 (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
- Organization subpart
- No
Authorized official
- Name
- Ira Crawford
- Title
- Managing Member
- Phone
- (435) 563-6887
Practitioners 4
-
Jeremy David Gibbons, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230323001629 | UT | Part B Supplier - Clinic/Group Practice | 3476792334 |
Receives reassigned benefits from 3 practitioners Practice locations: Smithfield, UT |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 368408-1202 | UT | Yes |
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
Other providers in Smithfield, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.