Active NPI
Charles Evan Crain, D.C.
- Chiropractor
- Belmont, CA
National Provider Identifier
1578745816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC-25314
- Practice address
- 560 Masonic Way
Belmont, CA 94002-2703 - Phone
- (650) 593-2175
- Fax
- (650) 598-9165
- NPI assigned
- Nov 28, 2007
- Last updated
- May 1, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC-25314 | CA | Primary |
Addresses
Primary practice location
560 Masonic Way
Belmont, CA 94002-2703
Mailing address
560 Masonic Way
Belmont, CA 94002-2703
Phone (650) 593-2175
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090526000366 | CA | Practitioner - Chiropractic | 8729137625 | Practice locations: Belmont, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
560 Masonic Way
Belmont, CA 94002-2703
Phone (650) 593-2175
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25314 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| DC-25314 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241136000000",
"number": "1578745816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "560 MASONIC WAY",
"city": "BELMONT",
"state": "CA",
"postal_code": "940022703",
"telephone_number": "650-593-2175",
"fax_number": "650-598-9165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 MASONIC WAY",
"city": "BELMONT",
"state": "CA",
"postal_code": "940022703",
"telephone_number": "650-593-2175",
"fax_number": "650-598-9165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAIN",
"first_name": "CHARLES",
"middle_name": "EVAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-11-28",
"last_updated": "2009-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC-25314",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Belmont, CA
- Community Hospital Inpatient Physicians at El Camino Hospital
- Companion Care Services, LLC (Companion Care Services)
- Cheryl Beth Cooper, R.D.O.
- Russ Cooper
- County of San Mateo (Carlmont Therapeutic Day School)
- Natalie Anne Da Marto, PT, DPT
- Tatielle Da Silva Schmith
- Salomi Daftary, MS CCC-SLP
- Mark Daly, D.C.
- Judith L Davila, MSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2009; 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.