Individual provider Active NPI

Amy K Crawford-Fiallos, D.C.

  • Chiropractor
  • Houston, TX
National Provider Identifier
1558369801
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8801 Issued in TX
Practice address
2414 Tangley St BLDG B
Houston, TX 77005-2514
Phone
(713) 503-9687
Fax
(713) 668-8039
NPI assigned
Jul 11, 2005
Reactivated
Mar 21, 2006
Last updated
Apr 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 8801 TX Primary

Addresses

Primary practice location

2414 Tangley St BLDG B
Houston, TX 77005-2514

Mailing address

2414 Tangley St BLDG B
Houston, TX 77005-2514
Phone (713) 503-9687

Other identifiers 7

IdentifierTypeStateIssuer
760671946OtherTXINTERPLAN HEATLH GROUP
5538184OtherTXC C N
1051703OtherTXAMERICAN SPECIALTY HEALTH
8P5620OtherTXBLUE CROSS BLUE SHIELD
167691801MedicaidTX
2232191OtherTXFIRST HEALTH
667633OtherTXA C N GROUP

Other names 1

  • Dr. Amy Kristen Crawford Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040719000517 TX Practitioner - Chiropractic 7012996465 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6550 Mapleridge St
Suite 115
Houston, TX 77081-4629
Phone (713) 503-9687

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8801TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Crawford Wellness Center, Inc Chiropractor CurrentSince Feb 1, 2009 Accepting new patients

Locations

2414 Tangley St
Bldg B
Houston, TX 77005
Phone (713) 503-9687

6550 Mapleridge St
Ste 115
Houston, TX 77081
Phone (281) 701-5457

Organizations & group practices 1

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": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1558369801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2414 TANGLEY ST BLDG B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770052514",
            "telephone_number": "713-503-9687",
            "fax_number": "713-668-8039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2414 TANGLEY ST BLDG B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770052514",
            "telephone_number": "713-503-9687",
            "fax_number": "713-668-8039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD-FIALLOS",
        "first_name": "AMY",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-11",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "deactivation_date": "2006-03-16",
        "reactivation_date": "2006-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERPLAN HEATLH GROUP",
            "identifier": "760671946",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "C C N",
            "identifier": "5538184",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPECIALTY HEALTH",
            "identifier": "1051703",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8P5620",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167691801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "2232191",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "A C N GROUP",
            "identifier": "667633",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "CRAWFORD",
            "middle_name": "KRISTEN",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; 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.