Individual provider Active NPI

Linzie Suzanne Crute, D.C.

  • Chiropractor
  • Dayton, OH
National Provider Identifier
1497114110
Registry record updated Jan 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
04853 Issued in OH
Practice address
1204 E Dorothy LN
Dayton, OH 45419-2111
Phone
(937) 479-7930
NPI assigned
Feb 23, 2016
Last updated
Jan 25, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 04853 OH Primary
Chiropractor 111N00000X 4626 NC

Addresses

Primary practice location

1204 E Dorothy LN
Dayton, OH 45419-2111

Mailing address

3050 Sears Rd
Spring Valley, OH 45370-7726
Phone (937) 479-7930

Other practice location 1

3831 W Market St
Greensboro, NC 27407-1301
Phone (336) 299-3037

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160324000526 NC Practitioner - Chiropractic 7719284447 Reassigns benefits to 1 organization
I20190320003448 OH Practitioner - Chiropractic 7719284447 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1204 E Dorothy LN
Dayton, OH 45419-2111
Phone (937) 350-1888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
04853OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Homegrown Chiropractic & Wellness LLC Chiropractor CurrentSince Feb 1, 2019 Accepting new patients
Williams Chiropractic and Decompression Center, P.C. Chiropractor CurrentSince Feb 24, 2016 Accepting new patients

Locations

3831 W Market St
Greensboro, NC 27407
Phone (336) 299-3037

1204 E Dorothy Ln
Dayton, OH 45419
Phone (937) 350-1888

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1456185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548374400000",
    "number": "1497114110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 SEARS RD",
            "city": "SPRING VALLEY",
            "state": "OH",
            "postal_code": "453707726",
            "telephone_number": "937-479-7930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 E DOROTHY LN",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454192111",
            "telephone_number": "937-479-7930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3831 W Market St",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274071301",
            "country_code": "US",
            "telephone_number": "336-299-3037",
            "fax_number": "336-299-3066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUTE",
        "first_name": "LINZIE",
        "middle_name": "SUZANNE",
        "name_prefix": "Mrs.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-23",
        "last_updated": "2019-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "04853",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4626",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.