Organization Active NPI

Mary Anne Crawford DC LLC

  • Chiropractor
  • Red Lion, PA
National Provider Identifier
1831330968
Registry record updated Mar 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-002834-L Issued in PA
Legal business name
MARY ANNE CRAWFORD DC LLC
Doing business as
Crawford Chiropractic Center
Practice address
2997 Cape Horn Rd
Suite 3a
Red Lion, PA 17356-9327
Phone
(717) 244-5555
Fax
(717) 244-6123
NPI assigned
Mar 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2009

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

Authorized official

Name
Dr. Mary Anne Crawford, D.C.
Title
LLC Member
Phone
(717) 244-5555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC-002834-L PA Primary

Addresses

Primary practice location

2997 Cape Horn Rd
Suite 3a
Red Lion, PA 17356-9327

Mailing address

2997 Cape Horn Rd
Suite 3a
Red Lion, PA 17356-9327
Phone (717) 244-5555

Other identifiers 1

IdentifierTypeStateIssuer
454908OtherPAMEDICARE PROVIDER NUMBER

Other names 1

  • Crawford Chiropractic Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090401000281 PA Part B Supplier - Clinic/Group Practice 2062579345 Receives reassigned benefits from 1 practitioner
Practice locations: Red Lion, PA

National Provider Directory

National Provider Directory

Locations

2997 Cape Horn Rd
Ste A3
Red Lion, PA 17356
Phone (717) 244-5555

2997 Cape Horn Rd
Red Lion, PA 17356
Phone (717) 244-1412

Practitioners & affiliated clinicians

Practitioners 1

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": "1237420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237420800000",
    "number": "1831330968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2997 CAPE HORN RD",
            "address_2": "SUITE 3A",
            "city": "RED LION",
            "state": "PA",
            "postal_code": "173569327",
            "telephone_number": "717-244-5555",
            "fax_number": "717-244-6123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2997 CAPE HORN RD",
            "address_2": "SUITE 3A",
            "city": "RED LION",
            "state": "PA",
            "postal_code": "173569327",
            "telephone_number": "717-244-5555",
            "fax_number": "717-244-6123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY ANNE CRAWFORD DC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-19",
        "last_updated": "2009-03-19",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "MARY ANNE",
        "authorized_official_title_or_position": "LLC MEMBER",
        "authorized_official_telephone_number": "717-244-5555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC-002834-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "454908",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crawford Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Red Lion, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; 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.