NPIMap

Organization Active NPI

Crystal Chiropractic

  • Chiropractor
  • Hendersonville, TN
National Provider Identifier
1538338686
Registry record updated Feb 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC0000762 Issued in TN
Legal business name
CRYSTAL CHIROPRACTIC
Practice address
109 Maple Row Blvd Ste 2
Hendersonville, TN 37075-1605
Phone
(615) 822-1922
Fax
(615) 822-1926
NPI assigned
Feb 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2008

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.NPI 1255350393
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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC0000762 TN Primary

Addresses

Primary practice location

109 Maple Row Blvd Ste 2
Hendersonville, TN 37075-1605

Mailing address

109 Maple Row Blvd Ste 2
Hendersonville, TN 37075-1605
Phone (615) 822-1922

National Provider Directory

National Provider Directory
Tax ID family
Crystal Chiropractic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

109 Maple Row Blvd
Ste 2
Hendersonvlle, 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.

NPI Registry JSON

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

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203638400000",
    "number": "1538338686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 MAPLE ROW BLVD STE 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 STE 2",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370751605",
            "telephone_number": "615-822-1922",
            "fax_number": "615-822-1926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-22",
        "last_updated": "2008-02-22",
        "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": "DC0000762",
            "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 Feb 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.