Individual provider Active NPI

Crystal Marlene McLaughlin, D.C.

  • Chiropractor
  • Reno, NV
National Provider Identifier
1780751164
Registry record updated Jun 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
B01017 Issued in NV
Practice address
5365 Mae Anne Ave
Ste. B-2
Reno, NV 89523-1840
Phone
(775) 747-4333
Fax
(775) 324-2370
NPI assigned
Nov 29, 2006
Last updated
Jun 1, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X B01017 NV Primary

Addresses

Primary practice location

5365 Mae Anne Ave
Ste. B-2
Reno, NV 89523-1840

Mailing address

7600 Gladstone Dr
Reno, NV 89506-1960
Phone (775) 747-4333

Other identifiers 2

IdentifierTypeStateIssuer
667297OtherNVBC BS NUMBER
B01017OtherNVNV LICENSE NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040416001039 NV Practitioner - Chiropractic 6800881145 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5365 Mae Anne Ave
Suite B2
Reno, NV 89523-1889
Phone (775) 747-4333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
B01017NVMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Better Health Chiropractic Clinic, Inc Chiropractor CurrentSince Jun 24, 2012 Accepting new patients

Locations

5365 Mae Anne Ave
Ste B2
Reno, NV 89523
Phone (775) 324-3700

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338508800000",
    "number": "1780751164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 GLADSTONE DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895061960",
            "telephone_number": "775-747-4333",
            "fax_number": "775-324-2370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5365 MAE ANNE AVE",
            "address_2": "STE. B-2",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895231840",
            "telephone_number": "775-747-4333",
            "fax_number": "775-324-2370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLAUGHLIN",
        "first_name": "CRYSTAL",
        "middle_name": "MARLENE",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2012-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B01017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS NUMBER",
            "identifier": "667297",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NV LICENSE NUMBER",
            "identifier": "B01017",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2012; 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.