Organization Active NPI

CRC Chiropractic,L.L.C.

  • Chiropractor
  • Phoenix, AZ
National Provider Identifier
1982612248
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7746 Issued in AZ
Legal business name
CRC CHIROPRACTIC,L.L.C.
Practice address
2330 N 75TH Ave
Ste 104
Phoenix, AZ 85035-1200
Phone
(623) 849-9416
Fax
(623) 849-9622
NPI assigned
Aug 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Carin R Castro, D.C.
Title
Owner
Phone
(623) 849-9416

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 7746 AZ Primary

Addresses

Primary practice location

2330 N 75TH Ave
Ste 104
Phoenix, AZ 85035-1200

Mailing address

4619 N 24TH St
Phoenix, AZ 85016-5203
Phone (602) 956-0111

National Provider Directory

National Provider Directory

Locations

2330 N 75th Ave
Ste 104
Phoenix, AZ 85035
Phone (623) 252-1512

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982612248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4619 N 24TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850165203",
            "telephone_number": "602-956-0111",
            "fax_number": "602-956-0720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 N 75TH AVE",
            "address_2": "STE 104",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850351200",
            "telephone_number": "623-849-9416",
            "fax_number": "623-849-9622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRC CHIROPRACTIC,L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CASTRO",
        "authorized_official_first_name": "CARIN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-849-9416",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.