Organization Active NPI

Crowley Chiropractic PC

  • Chiropractor
  • Caseville, MI
National Provider Identifier
1811048770
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
JC006772 Issued in MI
Legal business name
CROWLEY CHIROPRACTIC PC
Practice address
6827 Michigan St
Caseville, MI 48725-9542
Phone
(989) 856-4187
Fax
(989) 856-2118
NPI assigned
Jan 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jeffrey Lawrence Crowley, B.S., D.CNPI 1366410458
Title
Owner
Phone
(989) 856-4187

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X JC006772 MI Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X HV008811 MI
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X EY009186 MI

Addresses

Primary practice location

6827 Michigan St
Caseville, MI 48725-9542

Mailing address

6827 Michigan St
PO Box 1042
Caseville, MI 48725-9542
Phone (989) 856-4187

Other identifiers 6

IdentifierTypeStateIssuer
1946881MedicaidMI
4917480MedicaidMI
1366410458OtherMINPI DR CROWLEY
1437264934OtherMINPI DR VOLLMAR
1023040847OtherMIINDIVDUAL NPI DR YEAGER
4899758MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051117000951 MI Part B Supplier - Clinic/Group Practice 0446279558 Receives reassigned benefits from 1 practitioner
Practice locations: Bad Axe, MI; Caseville, MI; Cass City, MI; Pigeon, MI; Sebewaing, MI

National Provider Directory

National Provider Directory

Locations

28 1/2 Westland Dr
Bad Axe, MI 48413

28 Westland Dr
Bad Axe, MI 48413
Phone (989) 269-4187

4452 Doerr Rd
Cass City, MI 48726
Phone (989) 550-4187

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811048770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6827 MICHIGAN ST",
            "address_2": "PO BOX 1042",
            "city": "CASEVILLE",
            "state": "MI",
            "postal_code": "487259542",
            "telephone_number": "989-856-4187",
            "fax_number": "989-856-2118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6827 MICHIGAN ST",
            "city": "CASEVILLE",
            "state": "MI",
            "postal_code": "487259542",
            "telephone_number": "989-856-4187",
            "fax_number": "989-856-2118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWLEY CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CROWLEY",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-856-4187",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "B.S., D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "JC006772",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "HV008811",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "EY009186",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1946881",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4917480",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI DR CROWLEY",
            "identifier": "1366410458",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI DR VOLLMAR",
            "identifier": "1437264934",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVDUAL NPI DR YEAGER",
            "identifier": "1023040847",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4899758",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Caseville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.