Active NPI
Crum Chiropractic, LLC
- Chiropractor
- Boise, ID
National Provider Identifier
1740458199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIA-1099
- Legal business name
- CRUM CHIROPRACTIC, LLC
- Practice address
- 1390 South Maple Grove Road
Suite 200
Boise, ID 83709 - Phone
- (208) 672-0100
- NPI assigned
- Feb 19, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eric Crum, DC, MPH
- Title
- Owner
- Phone
- (208) 672-0100
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIA-1099 | ID | Primary |
Addresses
Primary practice location
1390 South Maple Grove Road
Suite 200
Boise, ID 83709
Mailing address
1390 South Maple Grove Road
Suite 200
Boise, ID 83709
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Boise, ID
- NPI 1346259520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203379200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1314057600000",
"number": "1740458199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1390 SOUTH MAPLE GROVE ROAD",
"address_2": "SUITE 200",
"city": "BOISE",
"state": "ID",
"postal_code": "83709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1390 SOUTH MAPLE GROVE ROAD",
"address_2": "SUITE 200",
"city": "BOISE",
"state": "ID",
"postal_code": "83709",
"telephone_number": "208-672-0100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRUM CHIROPRACTIC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-19",
"last_updated": "2011-08-23",
"status": "A",
"authorized_official_last_name": "CRUM",
"authorized_official_first_name": "ERIC",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "208-672-0100",
"authorized_official_credential": "DC, MPH"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "ID",
"license": "CHIA-1099",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2011; 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.