Creedon Chiropractic Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00212700 Issued in NJ

Legal business name

CREEDON CHIROPRACTIC CENTER

Practice address

200 Brace Rd
Cherry Hill, NJ 08034-2623

Phone

(856) 795-5333

Fax

(856) 795-5336

NPI assigned

Jul 14, 2010

Organization subpart

No

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

Authorized official

Name

Gerald M Creedon, D.C.NPI 1356403158

Title

Chiropractor/Owner

Phone

(856) 795-5333

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

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

• Gerald M Creedon, D.C.

  • Chiropractor
  • Cherry Hill, NJ
  • NPI 1356403158
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1279065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305849600000",
    "number": "1821300229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BRACE RD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080342623",
            "telephone_number": "856-795-5333",
            "fax_number": "856-795-5336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BRACE RD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080342623",
            "telephone_number": "856-795-5333",
            "fax_number": "856-795-5336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREEDON CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-14",
        "last_updated": "2011-05-20",
        "status": "A",
        "authorized_official_last_name": "CREEDON",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "856-795-5333",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00212700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carla Crawford, MMT
• Gregory T Crawford, OT
• James Lee Crawford, MD
• Michelle Christine Crawford, MD
• Lawrence Creamer
• Gerald M Creedon, D.C.
• Morgan K Crescenzo, PT, DPT
• Jalisha Crews
• Wayne Creyaufmiller, DC
• Alyssa Crincoli

• Chiropractor in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2011; 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.