CR Resorts LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

CR RESORTS LLC

Doing business as

Canyon Ranch
Tucson Lenox LLC

Practice address

8600 E Rockcliff Rd
Tucson, AZ 85750-9733

Phone

(520) 749-9655

Fax

(520) 239-8515

NPI assigned

Oct 12, 2007

Last updated

Apr 9, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Henry Dittmer

Title

SVP - Authorized Signatory

Phone

(520) 749-9655

Specialties & licenses 3

Addresses

Other names 2

• Canyon Ranch Doing business as
• Tucson Lenox LLC Doing business as

Tax ID family

Canyon Ranch2 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.

• Tucson/Lenox, LLC - Health Clinic

  dba Canyon Ranch

  • Clinic/Center
  • Tucson, AZ
  • NPI 1215424668
  NPD tax ID

Locations

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523232000000",
    "number": "1609064823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 E ROCKCLIFF RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857509733",
            "telephone_number": "520-749-9655",
            "fax_number": "520-239-8515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 E ROCKCLIFF RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857509733",
            "telephone_number": "520-749-9655",
            "fax_number": "520-239-8515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CR RESORTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-12",
        "last_updated": "2018-04-09",
        "status": "A",
        "authorized_official_last_name": "DITTMER",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "SVP - AUTHORIZED SIGNATORY",
        "authorized_official_telephone_number": "520-749-9655"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "OTC1976",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "OTC8497",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Canyon Ranch",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tucson Lenox LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ana Coyote
• Jeanne Kiel Cozine, R.N.
• Samantha Cozine
• Nooria Cozzetti, PA-C
• Elizabeth Cozzi, M.S., CCC-A
• CR Resorts, LLC (Canyon Ranch)
• Amber Nicole Marie Crace
• Marianne Julie Cracovaner, M.S.
• Brandon Bryon Cracraft
• Sarah Gail Craddock

• Chiropractor in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2018; 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.