Active NPI
Crevar Chiropractic
- Chiropractor
- North Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2227
- 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, 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
- Mr. Blaine M Crevar, D.C.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CH2227 | Medicaid | SC |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Chiropractor
- North Charleston, SC
- NPI 1821067810
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.