NPIMap

Organization Active NPI

Peter Crocker DC Inc.

Doing business as Tatum Crossing Chiropractic

  • Chiropractor
  • Cave Creek, AZ
National Provider Identifier
1912180696
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5854 Issued in AZ
Legal business name
PETER CROCKER DC INC.
Doing business as
Tatum Crossing Chiropractic
Practice address
29834 N Cave Creek Rd
Suite B110
Cave Creek, AZ 85331-5836
Phone
(480) 513-8900
Fax
(480) 513-9395
NPI assigned
Dec 17, 2007
Last updated
Apr 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2008

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

Authorized official

Name
Dr. Peter D Crocker, D.C.
Title
Owner
Phone
(480) 513-8900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5854 AZ Primary

Addresses

Primary practice location

29834 N Cave Creek Rd
Suite B110
Cave Creek, AZ 85331-5836

Mailing address

29834 N Cave Creek Rd
Suite B110
Cave Creek, AZ 85331-5836
Phone (480) 513-8900

Other identifiers 1

IdentifierTypeStateIssuer
73324OtherAZMEDICARE GROUP

Other names 1

  • Tatum Crossing Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

29834 N Cave Creek Rd
#B110
Cave Creek, AZ 85331
Phone (480) 513-8900

29834 N Cave Creek Rd
Ste B110
Cave Creek, AZ 85331
Phone (480) 513-8900

Practitioners & affiliated clinicians

Practitioners 3

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": "1197849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1912180696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29834 N CAVE CREEK RD",
            "address_2": "SUITE B110",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853315836",
            "telephone_number": "480-513-8900",
            "fax_number": "480-513-9395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29834 N CAVE CREEK RD",
            "address_2": "SUITE B110",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853315836",
            "telephone_number": "480-513-8900",
            "fax_number": "480-513-9395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER CROCKER DC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-17",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "CROCKER",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-513-8900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "5854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "73324",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tatum Crossing Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cave Creek, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; 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.