Lanny Craig Crockett, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

7414 Issued in AZ

Practice address

1300 S Main St
Ste a
Snowflake, AZ 85937-5662

Phone

(928) 536-5525

Fax

(928) 484-6070

NPI assigned

Mar 28, 2006

Last updated

Feb 23, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Compass Medical Center Safford PLLCGroup PAC ID 7012257892, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Compass Medical Center Safford PLLC

  • General Practice Physician
  • Safford, AZ
  • NPI 1114481876
  Medicare reassignment Care Compare group
• Outback Chiropractic LLC

  • Chiropractor
  • Saint Johns, AZ
  • NPI 1811175482
  NPD (past) Authorized official

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487808000000",
    "number": "1780644195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 S MAIN ST",
            "address_2": "STE A",
            "city": "SNOWFLAKE",
            "state": "AZ",
            "postal_code": "859375662",
            "telephone_number": "928-536-5525",
            "fax_number": "928-484-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S MAIN ST",
            "address_2": "STE A",
            "city": "SNOWFLAKE",
            "state": "AZ",
            "postal_code": "859375662",
            "telephone_number": "928-536-5525",
            "fax_number": "928-484-6070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROCKETT",
        "first_name": "LANNY",
        "middle_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2017-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "841595",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD AZ",
            "identifier": "AZ0939810",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Compass Medical Center Snowflake, PLLC
• Compass Medical DME PLLC
• Conscious Choices Birth Center LLC
• Karen Cox, CCC-SLP
• Craig Reed West DDS PC
• Randall B Crockett, PA
• Randall Caleb Crockett, OT
• Clara Louise Crookston, LCSW
• Alan N Dewitt, M.D.
• Don Shumway D P M PC

• Chiropractor in Snowflake, AZ
• Providers in Snowflake, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; 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.