Active NPI
Robert Lloyd Crisman Jr., DC
- Chiropractor
- Greer, SC
National Provider Identifier
1609804012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1781
- Practice address
- 220 N Main Street
Greer, SC 29650 - Phone
- (864) 848-0708
- Fax
- (864) 848-9918
- NPI assigned
- Jun 28, 2006
- 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 | 1781 | SC | Primary |
Addresses
Primary practice location
220 N Main Street
Greer, SC 29650
Mailing address
220 N Main Street
Greer, SC 29650
Phone (864) 848-0708
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CH17 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crisman Chiropractic Corporation | Chiropractor | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Chiropractor
- Greer, SC
- NPI 1295925568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202860800000",
"number": "1609804012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 N MAIN STREET",
"city": "GREER",
"state": "SC",
"postal_code": "29650",
"telephone_number": "864-848-0708",
"fax_number": "864-848-9918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 N MAIN STREET",
"city": "GREER",
"state": "SC",
"postal_code": "29650",
"telephone_number": "864-848-0708",
"fax_number": "864-848-9918"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRISMAN",
"first_name": "ROBERT",
"middle_name": "LLOYD",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-28",
"last_updated": "2008-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SC",
"license": "1781",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CH17",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greer, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.