Organization Active NPI

Edwards Chiropractic Clinic

Doing business as Crowne Chiropractic Clinci

  • Chiropractor
  • Arlington, TX
National Provider Identifier
1972781532
Registry record updated Feb 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8808 Issued in TX
Legal business name
EDWARDS CHIROPRACTIC CLINIC
Doing business as
Crowne Chiropractic Clinci
Practice address
2810 S Cooper St
Arlington, TX 76015-2310
Phone
(817) 467-9233
Fax
(817) 468-4777
NPI assigned
Feb 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2008

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

Authorized official

Name
Dr. Jerrod Edwards, D.C.
Title
Owner
Phone
(817) 467-9233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 8808 TX Primary

Addresses

Primary practice location

2810 S Cooper St
Arlington, TX 76015-2310

Mailing address

2810 S Cooper St
Arlington, TX 76015-2310
Phone (817) 467-9233

Other identifiers 1

IdentifierTypeStateIssuer
1497751218OtherNPI

Other names 1

  • Crowne Chiropractic Clinci Doing business as

National Provider Directory

National Provider Directory

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": "1202256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202256000000",
    "number": "1972781532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 S COOPER ST",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152310",
            "telephone_number": "817-467-9233",
            "fax_number": "817-468-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 S COOPER ST",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152310",
            "telephone_number": "817-467-9233",
            "fax_number": "817-468-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARDS CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-06",
        "last_updated": "2008-02-06",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "JERROD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-467-9233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1497751218",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crowne Chiropractic Clinci",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.