Individual provider Active NPI

Jennifer Lyn Crismon, D.C.

  • Chiropractor
  • Aurora, CO
National Provider Identifier
1750468740
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3132 Issued in CO
Practice address
2220 S Fraser St
Unit 3
Aurora, CO 80014-4507
Phone
(303) 750-9868
Fax
(303) 750-0579
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3132 CO Primary

Addresses

Primary practice location

2220 S Fraser St
Unit 3
Aurora, CO 80014-4507

Mailing address

2220 S Fraser St
Unit 3
Aurora, CO 80014-4507
Phone (303) 750-9868

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041118000525 CO Practitioner - Chiropractic 9234123068 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 1989
Medicare assignment
May accept Medicare assignment
Group practices
Aurora Chiropractic Health Care, P.C.Group PAC ID 8022002849, 2 clinicians

Practice addresses (Care Compare)

2220 S Fraser St
Unit 3
Aurora, CO 80014-4508
Phone (303) 745-3222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3132COMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Chiropractic Health Care, P.C. Chiropractor CurrentSince Feb 27, 2013 Accepting new patients

Locations

2220 S Fraser St
Unit 3
Aurora, CO 80014
Phone (303) 745-3222

Organizations & group practices 1

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1750468740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 S FRASER ST",
            "address_2": "UNIT 3",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800144507",
            "telephone_number": "303-750-9868",
            "fax_number": "303-750-0579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 S FRASER ST",
            "address_2": "UNIT 3",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800144507",
            "telephone_number": "303-750-9868",
            "fax_number": "303-750-0579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISMON",
        "first_name": "JENNIFER",
        "middle_name": "LYN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "3132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.