Individual provider Active NPI

Kelsey Crumrine, DC

  • Chiropractor
  • Saint Charles, MO
National Provider Identifier
1831873355
Registry record updated May 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
15482 Issued in TX
Practice address
2039 S Old Highway 94
Saint Charles, MO 63303-3724
Phone
(636) 724-9444
NPI assigned
Jun 14, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 15482 TX Primary

Addresses

Primary practice location

2039 S Old Highway 94
Saint Charles, MO 63303-3724

Mailing address

49 River Wind Dr
Saint Charles, MO 63301-4935
Phone (314) 456-1679

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
15482TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Perez Family Chiropractic LLC Chiropractor CurrentSince May 26, 2024 Accepting new patients

Locations

2039 S Old Highway 94
Saint Charles, MO 63303
Phone (636) 724-9444

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716076800000",
    "number": "1831873355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 RIVER WIND DR",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633014935",
            "telephone_number": "314-456-1679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2039 S OLD HIGHWAY 94",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633033724",
            "telephone_number": "636-724-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUMRINE",
        "first_name": "KELSEY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-14",
        "last_updated": "2024-05-19",
        "certification_date": "2024-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "15482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Charles, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.