Crystal Long, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

8559675 Issued in AL

Practice address

4500 Valleydale Rd
Suite 1000
Birmingham, AL 35242-4636

Phone

(205) 991-7374

NPI assigned

Mar 18, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Modern Chiropractic LLCGroup PAC ID 0941666408, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Modern Chiropractic LLC

  • Clinic/Center
  • Minot, ND
  • NPI 1518653690

  ND

  Medicare reassignment Care Compare group NPD
• Be Well Adjusted, PC

  • Clinic/Center
  • Minot, ND
  • NPI 1356599427

  ND

  Medicare reassignment NPD
• Cornerstone Spinal Care, Inc

  • Chiropractor
  • Minot, ND
  • NPI 1689298515
  Medicare reassignment NPD
• Family Wellness Chiropractic LLC

  • Chiropractor
  • Birmingham, AL
  • NPI 1295930741
  NPD (past)

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

{
    "created_epoch": "1363564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363564800000",
    "number": "1629310628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 VALLEYDALE RD",
            "address_2": "SUITE 1000",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352424636",
            "telephone_number": "205-991-7374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 VALLEYDALE RD",
            "address_2": "SUITE 1000",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352424636",
            "telephone_number": "205-991-7374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "CRYSTAL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-18",
        "last_updated": "2013-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "8559675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Brooke Long, CRNP
• Caroline Bice Long, MCD, CCC-SLP
• Cassidy Long, BCBA
• Cecil Long, M.D.
• Charles Wilburn Long III, PMHNP-BC
• Danelle Long
• Emily Stevens Long
• Gary Winn Long, MD
• Jalesa Symone Long, CRNP
• James Alan Long, MD

• Chiropractor in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Chiropractor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2013; 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.