Individual provider Active NPI

Gilbert Deitz Cromshaw, D.C.

  • Chiropractor
  • Leland, NC
National Provider Identifier
1972527679
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2132 Issued in NC
Practice address
304 Village Road
Leland, NC 28451-1378
Phone
(910) 371-2525
Fax
(910) 371-5922
NPI assigned
Jul 26, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2132 NC Primary

Addresses

Primary practice location

304 Village Road
Leland, NC 28451-1378

Mailing address

PO Box 1378
Leland, NC 28451-1378
Phone (910) 371-2525

Other identifiers 1

IdentifierTypeStateIssuer
790183LMedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031126000682 NC Practitioner - Chiropractic 0840195269 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Democko Chiropractic PLLCGroup PAC ID 8426133794, 3 clinicians

Practice addresses (Care Compare)

1802 E Ash St
Goldsboro, NC 27530-4045
Phone (919) 735-2205

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2132NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Democko Chiropractic PLLC Chiropractor CurrentSince Aug 1, 2025 Accepting new patients

Locations

1802 E Ash St
Goldsboro, NC 27530
Phone (919) 735-2205

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972527679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1378",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284511378",
            "telephone_number": "910-371-2525",
            "fax_number": "910-371-5922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 VILLAGE ROAD",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284511378",
            "telephone_number": "910-371-2525",
            "fax_number": "910-371-5922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROMSHAW",
        "first_name": "GILBERT",
        "middle_name": "DEITZ",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "790183L",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leland, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.