Individual provider Active NPI

Eric Michael Crane, D.C.

  • Chiropractor
  • Mustang, OK
National Provider Identifier
1972983070
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4192 Issued in OK
Practice address
201 S Castlerock LN
Mustang, OK 73064-4583
Phone
(405) 376-5700
Fax
(405) 376-4200
NPI assigned
Jun 3, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4192 OK Primary

Addresses

Primary practice location

201 S Castlerock LN
Mustang, OK 73064-4583

Mailing address

201 S Castlerock LN
Mustang, OK 73064-4583
Phone (405) 376-5700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160122001188 OK Practitioner - Chiropractic 5890098941 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4192OKMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Mustang Chiropractic Chiropractor CurrentSince Dec 15, 2015 Accepting new patients
Kaiser Chiropractic, LLC Chiropractor PastSince Jan 4, 2016 Accepting new patients

Locations

251 S Castlerock Ln
Mustang, OK 73064
Phone (405) 376-5700

201 S Castlerock Ln
Mustang, OK 73064
Phone (405) 376-5700

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1972983070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S CASTLEROCK LN",
            "city": "MUSTANG",
            "state": "OK",
            "postal_code": "730644583",
            "telephone_number": "405-376-5700",
            "fax_number": "405-376-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S CASTLEROCK LN",
            "city": "MUSTANG",
            "state": "OK",
            "postal_code": "730644583",
            "telephone_number": "405-376-5700",
            "fax_number": "405-376-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRANE",
        "first_name": "ERIC",
        "middle_name": "MICHAEL",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-03",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "4192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mustang, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; 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.