Crestview Chiropractic Clinic, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

CRESTVIEW CHIROPRACTIC CLINIC, INC

Practice address

1078 S Ferdon Blvd
Ste a
Crestview, FL 32536

Phone

(850) 682-0381

Fax

(850) 683-0981

NPI assigned

Apr 16, 2007

Last updated

Nov 17, 2023By 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

Jessica Schofield, DCNPI 1790390433

Title

Chiropractor/Owner

Phone

(850) 682-0381

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jessica Schofield, DC

  • Chiropractor
  • Crestview, FL
  • NPI 1790390433
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700179200000",
    "number": "1669697751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1078 S FERDON BLVD",
            "address_2": "STE A",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "32536",
            "telephone_number": "850-682-0381",
            "fax_number": "850-683-0981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1078 S FERDON BLVD",
            "address_2": "STE A",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "32536",
            "telephone_number": "850-682-0381",
            "fax_number": "850-683-0981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESTVIEW CHIROPRACTIC CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2023-11-17",
        "status": "A",
        "authorized_official_last_name": "SCHOFIELD",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "850-682-0381",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Coyne
• Andrea Craig, APRN
• Bridget Cramer
• Creative Orthotic & Prosthetic Services
• Traci Ann Cremer, ISW
• Crestview City Pharmacy Inc (Crestview City Pharmacy)
• Crestview Dental Care PLLC
• Crestview HCC LLC
• Crestview Health and Wellness Center LLC
• Crestview Hospital Company LLC (Crestview Surgery Center)

• Chiropractor in Crestview, FL
• Providers in Crestview, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.