Homegrown Chiropractic & Wellness LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

HOMEGROWN CHIROPRACTIC & WELLNESS LLC

Practice address

1204 E Dorothy LN
Dayton, OH 45419-2111

Phone

(937) 479-7930

NPI assigned

Jan 25, 2019

Organization subpart

No

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

Authorized official

Name

Linzie Crute, DCNPI 1497114110

Title

Owner Chiropractor

Phone

(937) 479-7930

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Linzie Suzanne Crute, D.C.

  • Chiropractor
  • Dayton, OH
  • NPI 1497114110
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1548374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548374400000",
    "number": "1497219299",
    "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": [],
    "basic": {
        "organization_name": "HOMEGROWN CHIROPRACTIC & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-25",
        "last_updated": "2019-01-25",
        "status": "A",
        "authorized_official_last_name": "CRUTE",
        "authorized_official_first_name": "LINZIE",
        "authorized_official_title_or_position": "OWNER CHIROPRACTOR",
        "authorized_official_telephone_number": "937-479-7930",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Dayton, OH
• Providers in Dayton, OH by specialty
• Chiropractor in Ohio

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.