Charles F Crandall DC PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH7804 Issued in FL

Legal business name

CHARLES F CRANDALL DC PA

Practice address

1501 Lakeview Rd
Clearwater, FL 33756-3647

Phone

(727) 447-6779

Fax

(727) 462-2634

NPI assigned

Jan 14, 2015

Last updated

Jan 14, 2015By 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. Charles F Crandall, DCNPI 1215993670

Title

President

Phone

(727) 447-6779

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

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.

• Charles Frederick Crandall, D.C.

  • Chiropractor
  • Clearwater, FL
  • NPI 1215993670
  Medicare reassignment NPD Authorized official
• Carl Vernon Gonser, D.C.

  • Internist Chiropractor
  • Clearwater, FL
  • NPI 1861484495
  NPD (past)

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

{
    "created_epoch": "1421193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421193600000",
    "number": "1720477763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 LAKEVIEW RD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563647",
            "telephone_number": "727-447-6779",
            "fax_number": "727-462-2634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 LAKEVIEW RD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563647",
            "telephone_number": "727-447-6779",
            "fax_number": "727-462-2634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES F CRANDALL DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-14",
        "last_updated": "2015-01-14",
        "status": "A",
        "authorized_official_last_name": "CRANDALL",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-447-6779",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPECIALTY HEALTH",
            "identifier": "1148135",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010609000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "55998",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Chapman, D.C.
• Laurie Ann Chappell, LSA, CST/CSFA
• Brian M Charity, DO
• Dyan Charlemagne, PTA
• Charles E Abrahamsen, MD, PA
• Charles Wheaton PHD PA
• Gloria Gertrude Chase, P.T.A.
• Chateau Blanc, Inc
• Nicole Cheatham
• Melanie Veronica Cheing, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; 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.