Organization Active NPI

Paul Crow DC LLC

  • Chiropractor
  • Clarksville, TN
National Provider Identifier
1942496401
Registry record updated Oct 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC0000001947 Issued in TN
Legal business name
PAUL CROW DC LLC
Practice address
255 Dover Rd
Clarksville, TN 37042-4155
Phone
(931) 906-2055
Fax
(931) 906-2172
NPI assigned
Sep 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2011

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

Authorized official

Name
Rhonda Crow
Title
Office Manager
Phone
(931) 906-2055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC0000001947 TN Primary

Addresses

Primary practice location

255 Dover Rd
Clarksville, TN 37042-4155

Mailing address

255 Dover Rd
Clarksville, TN 37042-4155
Phone (931) 906-2055

Other identifiers 1

IdentifierTypeStateIssuer
3971257OtherTNMEDICARE

Other names 1

  • Crow Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040209000821 TN Part B Supplier - Clinic/Group Practice 6901790294 Receives reassigned benefits from 1 practitioner
Practice locations: Clarksville, TN

National Provider Directory

National Provider Directory

Locations

255 Dover Rd
Clarksville, TN 37042
Phone (931) 906-2055

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317686400000",
    "number": "1942496401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 DOVER RD",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370424155",
            "telephone_number": "931-906-2055",
            "fax_number": "931-906-2172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 DOVER RD",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370424155",
            "telephone_number": "931-906-2055",
            "fax_number": "931-906-2172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL CROW DC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2011-10-04",
        "status": "A",
        "authorized_official_last_name": "CROW",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "931-906-2055"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "DC0000001947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "3971257",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crow Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.