Crystal Jancovic, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

ACU0002104 Issued in CO

Practice address

7114 W Jefferson Ave Ste 112
Lakewood, CO 80235-2309

Phone

(720) 242-9756

NPI assigned

Oct 16, 2020

Last updated

Oct 16, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Lakewood Community Acupucture

  • Acupuncturist
  • Lakewood, CO
  • NPI 1013514405
  NPD

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

{
    "created_epoch": "1602806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602806400000",
    "number": "1992304323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7114 W JEFFERSON AVE STE 112",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802352309",
            "telephone_number": "720-242-9756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7114 W JEFFERSON AVE STE 112",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802352309",
            "telephone_number": "720-242-9756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANCOVIC",
        "first_name": "CRYSTAL",
        "credential": "L.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-16",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "ACU0002104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WE ARE AN OUT OF NETWORK/OUT OF POCKET LOWCOST 501C3 CLINIC",
            "identifier": "501C3",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://lakewoodacupuncture.org/",
            "affiliation": "N",
            "endpointDescription": "Our website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Information and contact",
            "address_1": "7114 W Jefferson Ave Ste 112",
            "city": "Lakewood",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802352309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kimberly K James, CRNA
• Marina Alexis James, BCBA
• Melessa Ann James, LPN
• Sara Elizabeth James
• Karen Jamieson-Darr, PH.D.
• Danijela Jankovic, D.D.S.
• Marilyn Ann Jansen, LPN
• Richard K Jansen, MD
• Mariah T Jarrell
• Kerry Jarvis, OD

• Acupuncturist in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Acupuncturist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.