Individual provider Active NPI

Andrew Nicholas Crape, D.C.

  • Chiropractor
  • Fairfield, CT
National Provider Identifier
1881133304
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2061 Issued in CT
Practice address
1100 Kings Hwy E Ste 1C
Fairfield, CT 06825-5400
Phone
(203) 576-1993
NPI assigned
Feb 16, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2061 CT Primary

Addresses

Primary practice location

1100 Kings Hwy E Ste 1C
Fairfield, CT 06825-5400

Mailing address

68 Homestead Ave
Bridgeport, CT 06605-3443
Phone (203) 615-3896

Other practice location 1

82-86 Wolcott Hill Rd
Wethersfield, CT 06109-1252
Phone (860) 296-4446

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170308000348 CT Practitioner - Chiropractic 1052695251 Practice locations: Fairfield, CT

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1100 Kings Hwy E
Suite 1C
Fairfield, CT 06825-5400
Phone (203) 576-1993

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2061CTMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1487203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1881133304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 HOMESTEAD AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066053443",
            "telephone_number": "203-615-3896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 KINGS HWY E STE 1C",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068255400",
            "telephone_number": "203-576-1993"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "82-86 Wolcott Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Wethersfield",
            "state": "CT",
            "postal_code": "061091252",
            "country_code": "US",
            "telephone_number": "860-296-4446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRAPE",
        "first_name": "ANDREW",
        "middle_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-16",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "2061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; 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.