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CRESCENT CHIROPRACTIC PC
NPI 1013290261
Chiropractor in Phoenix, AZ

Active since September 23, 2011
9014 N 23RD AVE STE 8, PHOENIX, AZ 85021(602) 861-3339(602) 861-3280 Get Directions Write a Review

NPPES record last updated: October 6, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Crescent Chiropractic Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRESCENT CHIROPRACTIC PC (NPI 1013290261) is a healthcare organization registered as a chiropractor in Phoenix, Arizona and active in the NPI registry since September 2011. The organization lists Russell K Ho Lem, President, as its authorized official.

NPPES Registry Identity

NPI1013290261
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameCRESCENT CHIROPRACTIC PC
Location Address9014 N 23RD AVE STE 8Phoenix, AZ 85021-2854
Mailing Address9014 N 23rd Ave Ste 8Phoenix, AZ 85021-2854 · (602) 861-3339 · Fax (602) 861-3280
Phone(602) 861-3339
Fax(602) 861-3280
Organization SubpartNo
Authorized OfficialRussell K Ho LemPresident · (602) 861-3339
Enumeration DateSeptember 23, 2011
Last NPPES UpdateOctober 6, 2011
✔ NPI 1013290261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in AZ · 5492
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
9014 N 23RD AVE STE 8, Phoenix, AZ 85021
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINU56758AZ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Crescent Chiropractic Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateArizonaEnrollment IDO20111017000599Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Crescent Chiropractic PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Russell Ho Lem, DC
Chiropractic
NPI 1548295025
9014 N 23RD AVE STE 8
Phoenix, AZ 85021
(602) 861-3339
✔ Accepts Medicare0.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crescent Chiropractic PC's NPI number?

The NPI number for Crescent Chiropractic PC is 1013290261. It was assigned to this organization in the NPPES registry on September 23, 2011.

Where is Crescent Chiropractic PC located?

Crescent Chiropractic PC is located at 9014 N 23rd Ave Ste 8, Phoenix, AZ 85021. The listed phone number is (602) 861-3339.

What is Crescent Chiropractic PC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Crescent Chiropractic PC enrolled in Medicare?

Yes. Crescent Chiropractic PC is registered in the Medicare PECOS enrollment system.

When is Crescent Chiropractic PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arizona, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Crescent Chiropractic PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Crescent Chiropractic PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Crescent Chiropractic PC was last updated on October 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.