B.Crawford Chiropractic, Professional Corporation

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5398 Issued in CA

Legal business name

B.CRAWFORD CHIROPRACTIC, PROFESSIONAL CORPORATION

Practice address

9640 Center Ave Ste 120
Rancho Cucamonga, CA 91730-5809

Phone

(909) 945-3232

Fax

(909) 945-3220

NPI assigned

Jul 2, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Bruce W Crawford, D.C.

Title

President

Phone

(909) 945-3232

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1962665778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9640 CENTER AVE STE 120",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305809",
            "telephone_number": "909-945-3232",
            "fax_number": "909-945-3220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9640 CENTER AVE STE 120",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305809",
            "telephone_number": "909-945-3232",
            "fax_number": "909-945-3220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B.CRAWFORD CHIROPRACTIC, PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-02",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-945-3232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC18771",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "5398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.