Organization Active NPI

Crocetto Chiropractic Center, P.C.

Doing business as Crocetto Chiropractic Wellness Center

  • Chiropractor
  • Adrian, MI
National Provider Identifier
1699896449
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301004136 Issued in MI
Legal business name
CROCETTO CHIROPRACTIC CENTER, P.C.
Doing business as
Crocetto Chiropractic Wellness Center
Practice address
1114 S Winter St Ste 7
Adrian, MI 49221-4292
Phone
(517) 264-1699
NPI assigned
Apr 2, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Richard A Crocetto, D.C.
Title
President
Phone
(517) 264-1699

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301004136 MI Primary

Addresses

Primary practice location

1114 S Winter St Ste 7
Adrian, MI 49221-4292

Mailing address

1114 S Winter St Ste 7
Adrian, MI 49221-4292
Phone (517) 264-1699

Other names 1

  • Crocetto Chiropractic Wellness Center Doing business as

National Provider Directory

National Provider Directory

Locations

1114 S Winter St
Ste 7
Adrian, MI 49221
Phone (517) 264-1699

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699896449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 S WINTER ST STE 7",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492214292",
            "telephone_number": "517-264-1699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 S WINTER ST STE 7",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492214292",
            "telephone_number": "517-264-1699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROCETTO CHIROPRACTIC CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CROCETTO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "517-264-1699",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301004136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crocetto Chiropractic Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Adrian, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.