James Crowder Jr., D.C.
Individual provider Active NPI Chiropractor · Schererville, IN
NPI 1659601698 · NPPES record last updated Mar 23, 2015
Key facts
- NPI
- 1659601698
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 08002491A (IN)
- Practice address
- 11 E Joliet St
Schererville, IN 46375-2010 - Phone
- (219) 864-8284
- Fax
- (219) 864-8280
- NPI assigned
- Jan 13, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
11 E Joliet St
Schererville, IN 46375-2010
Phone (219) 864-8284
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110505000845 | IN | Practitioner - Chiropractic | 0244415263 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08002491A | IN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crowder Family Chiropractic LLC | Chiropractor | Current |
Accepting new patients |
| Hayes Family Chiropractic PC | Chiropractor | Past |
Accepting new patients |
| Optimal Chiropractic Family Sports Rehab Inc | Chiropractor | Past | Accepting new patients |
Locations
11 E Joliet St
Schererville, IN 46375
Phone (219) 661-8680
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 08002491A | IN | Yes |
Addresses
Primary practice location
11 E Joliet St
Schererville, IN 46375-2010
Mailing address
11 E Joliet St
Schererville, IN 46375-2010
Phone (219) 864-8284
Other providers in Schererville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.