Individual provider Active NPI

Jonathan Brett Crosby, D.C.

  • Chiropractor
  • Bastrop, LA
National Provider Identifier
1689728206
Registry record updated Mar 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1372 Issued in LA
Practice address
608 N Marable St
Bastrop, LA 71220-3032
Phone
(318) 281-0550
Fax
(318) 283-1883
NPI assigned
Jan 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1372 LA Primary

Addresses

Primary practice location

608 N Marable St
Bastrop, LA 71220-3032

Mailing address

608 N Marable St
Bastrop, LA 71220-3032
Phone (318) 281-0550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071022000318 LA Practitioner - Chiropractic 8022056316 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

608 N Marable St
Bastrop, LA 71220-3032
Phone (318) 281-0550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1372LAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bastrop Chiropractic Spine & Injury Center Chiropractor CurrentSince Jul 1, 2008 Accepting new patients
Hunter Chiropractic Health Center Inc Chiropractor PastSince Nov 24, 2008 Accepting new patients

Locations

608 N Marable St
Bastrop, LA 71220
Phone (318) 281-0550

Interoperability endpoints

  • Direct secure messaging: drcrosby@ccc0003.direct.chirotouch.md

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237248000000",
    "number": "1689728206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 N MARABLE ST",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712203032",
            "telephone_number": "318-281-0550",
            "fax_number": "318-283-1883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 N MARABLE ST",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712203032",
            "telephone_number": "318-281-0550",
            "fax_number": "318-283-1883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSBY",
        "first_name": "JONATHAN",
        "middle_name": "BRETT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2009-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bastrop, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2009; 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.