Organization Active NPI

Crews Chiropractic PA

  • Chiropractor
  • Daytona Beach, FL
National Provider Identifier
1891938346
Registry record updated Apr 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9585 Issued in FL
Legal business name
CREWS CHIROPRACTIC PA
Practice address
1365 Beville Rd
Daytona Beach, FL 32119-1529
Phone
(386) 846-3467
Fax
(386) 269-1209
NPI assigned
Apr 14, 2009
Last updated
Apr 23, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2009

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

Authorized official

Name
Dr. Brandon L Crews, D.C.NPI 1932360328
Title
Director/Owner
Phone
(386) 492-7963

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH9585 FL Primary

Addresses

Primary practice location

1365 Beville Rd
Daytona Beach, FL 32119-1529

Mailing address

1365 Beville Rd
Daytona Beach, FL 32119-1529
Phone (386) 846-3467

Other identifiers 1

IdentifierTypeStateIssuer
CH9585OtherFLFLORIDA MEDICAL LICENSE

National Provider Directory

National Provider Directory

Locations

1365 Beville Rd
South Daytona, FL 32119
Phone (386) 760-0035

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1239667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240444800000",
    "number": "1891938346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 BEVILLE RD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321191529",
            "telephone_number": "386-846-3467",
            "fax_number": "386-269-1209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 BEVILLE RD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321191529",
            "telephone_number": "386-846-3467",
            "fax_number": "386-269-1209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREWS CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-14",
        "last_updated": "2009-04-23",
        "status": "A",
        "authorized_official_last_name": "CREWS",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "386-492-7963",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA MEDICAL LICENSE",
            "identifier": "CH9585",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2009; 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.