Crocker Chiropractic, LLC
NPI 1689957433ActiveOrganization· Chiropractor· Lebanon, MO
Chiropractor in Lebanon, Missouri, registered in NPPES in September 2011. The authorized official on file is Jack D. Crocker, D.C., Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1689957433 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 27, 2011 |
| Last updated in NPPES | Oct 29, 2025 |
| Certified by provider | Oct 29, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | MO004819 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MO) |
|---|
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