Organization Active NPI

Crevar Chiropractic

  • Chiropractor
  • North Charleston, SC
National Provider Identifier
1770738759
Registry record updated Dec 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2227 Issued in SC
Legal business name
CREVAR CHIROPRACTIC
Practice address
3940 Dorchester Rd
North Charleston, SC 29405-7563
Phone
(843) 529-1800
Fax
(843) 529-3788
NPI assigned
Nov 18, 2008
Last updated
Dec 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2008

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

Authorized official

Name
Mr. Blaine M Crevar, D.C.NPI 1821067810
Title
Doctor
Phone
(843) 529-1800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2227 SC Primary

Addresses

Primary practice location

3940 Dorchester Rd
North Charleston, SC 29405-7563

Mailing address

3940 Dorchester Rd
North Charleston, SC 29405-7563
Phone (843) 529-1800

Other identifiers 1

IdentifierTypeStateIssuer
CH2227MedicaidSC

National Provider Directory

National Provider Directory

Locations

3940 Dorchester Rd
North Charleston, SC 29405
Phone (843) 529-1800

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": "1226966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228780800000",
    "number": "1770738759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3940 DORCHESTER RD",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294057563",
            "telephone_number": "843-529-1800",
            "fax_number": "843-529-3788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3940 DORCHESTER RD",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294057563",
            "telephone_number": "843-529-1800",
            "fax_number": "843-529-3788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREVAR CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-18",
        "last_updated": "2008-12-09",
        "status": "A",
        "authorized_official_last_name": "CREVAR",
        "authorized_official_first_name": "BLAINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "843-529-1800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH2227",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2008; 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.