Crevier Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1307 Issued in SD

Legal business name

CREVIER CHIROPRACTIC LLC

Doing business as

Champion Health Chiropractic

Practice address

2410 Sunrise Ridge Cir
#108
Brookings, SD 57006-2482

Phone

(605) 695-8899

NPI assigned

Jan 25, 2017

Last updated

Jan 25, 2017By 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

Dr. Isaiah Andrew Crevier, D.C.NPI 1407393739

Title

Owner

Phone

(605) 695-8899

Specialties & licenses 1

Addresses

Other names 1

• Champion Health Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in SD

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.

• Isaiah Andrew Crevier, D.C.

  • Chiropractor
  • Brookings, SD
  • NPI 1407393739
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1485302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485302400000",
    "number": "1699212928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 SUNRISE RIDGE CIR",
            "address_2": "#108",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570062482",
            "telephone_number": "605-695-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 SUNRISE RIDGE CIR",
            "address_2": "#108",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570062482",
            "telephone_number": "605-695-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREVIER CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-25",
        "last_updated": "2017-01-25",
        "status": "A",
        "authorized_official_last_name": "CREVIER",
        "authorized_official_first_name": "ISAIAH",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-695-8899",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "1307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Champion Health Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Joy Cooper, BS, LAT,ATC
• Cornerstone Caregiving East LLC
• Lori Couser, PHARMD
• Rebecca Cover, ATC
• CP Twitero, PC (Brookings Vision Center)
• Hallel Crevier, LMT
• Isaiah Andrew Crevier, D.C.
• Laura Crooks, COTA/L
• Ronald Louis Cruz, D.C.
• Autumn A Culhane

• Chiropractor in Brookings, SD
• Providers in Brookings, SD by specialty
• Chiropractor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; 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.