Charles T McCrory, DC MD, Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A066088 Issued in CA

Legal business name

CHARLES T MCCRORY, DC MD, INC

Practice address

300 Harding Blvd
Suite 213
Roseville, CA 95678-2470

Phone

(916) 780-2800

NPI assigned

Aug 1, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Charles Thomas McCrory, DC, MDNPI 1134211170

Title

Owner

Phone

(916) 780-2800

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles Thomas McCrory, M.D., D.C

  • General Practice Physician
  • Roseville, CA
  • NPI 1134211170

  Chiropractor

  Medicare reassignment NPD Authorized official
• Terra Colbert

  • Massage Therapist
  • Roseville, CA
  • NPI 1417256470
  NPD (past)
• Joe Uptain-Villa, DC

  • Chiropractor
  • Roseville, CA
  • NPI 1952432577
  NPD (past)

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

{
    "created_epoch": "1312156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312156800000",
    "number": "1912285487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HARDING BLVD",
            "address_2": "SUITE 213",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956782470",
            "telephone_number": "916-780-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HARDING BLVD",
            "address_2": "SUITE 213",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956782470",
            "telephone_number": "916-780-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES T MCCRORY, DC MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-01",
        "last_updated": "2011-08-01",
        "status": "A",
        "authorized_official_last_name": "MCCRORY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-780-2800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, MD"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC24046",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A066088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jailyn Channell
• Angela Marie Chanter, PSYD
• Christina Seng Chao, M.D., PH.D.
• Kevin Young Chao, MD
• David Char, M.D.
• Nicole Charles, MA
• Charter Professional Group Inc
• Harold Joseph Chastain
• Salil Chaturvedi, MD
• Elaine Y Chau, MD

• General Practice Physician in Roseville, CA
• Providers in Roseville, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2011; 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.