CROCKER CHIROPRACTIC, LLC
NPI 1689957433
Chiropractor in Lebanon, MO
About Crocker Chiropractic, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CROCKER CHIROPRACTIC, LLC (NPI 1689957433) is a healthcare organization registered as a chiropractor in Lebanon, Missouri and active in the NPI registry since September 2011. The organization lists Jack D Crocker, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Crocker Chiropractic, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Crocker Chiropractic, LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 Crocker Chiropractic, LLC's NPI number?
The NPI number for Crocker Chiropractic, LLC is 1689957433. It was assigned to this organization in the NPPES registry on September 27, 2011.
Where is Crocker Chiropractic, LLC located?
Crocker Chiropractic, LLC is located at 464 N Jefferson Ave, Lebanon, MO 65536. The listed phone number is (417) 532-9166.
What is Crocker Chiropractic, LLC's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Crocker Chiropractic, LLC enrolled in Medicare?
Yes. Crocker Chiropractic, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Crocker Chiropractic, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Crocker Chiropractic, LLC. 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Crocker Chiropractic, LLC was last updated on October 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.
# Crocker Chiropractic, Llc · NPI 1689957433
Chiropractor organization in Lebanon, Missouri. Organization record, active in the CMS NPPES registry since September 27, 2011.
## Identity
- **NPI:** 1689957433 (Entity type: Organization)
- **Enumerated:** September 27, 2011
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Jack Crocker, OWNER
## Practice location
- **Address:** 464 N JEFFERSON AVE, Lebanon, MO 65536-2742
- **Phone:** (417) 532-9166 · **Fax:** (417) 532-9887
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Chiropractic) reassign Medicare billing to this organization (form CMS-855R); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 29, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1689957433) · Data from the CMS NPPES public registry.