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CROCKER CHIROPRACTIC, LLC
NPI 1689957433
Chiropractor in Lebanon, MO

Active since September 27, 2011
464 N JEFFERSON AVE, LEBANON, MO 65536(417) 532-9166(417) 532-9887 Get Directions Write a Review

NPPES record last updated: October 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1689957433
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameCROCKER CHIROPRACTIC, LLC
Location Address464 N JEFFERSON AVELebanon, MO 65536-2742
Mailing Address464 N Jefferson AveLebanon, MO 65536-2742 · (417) 532-9166 · Fax (417) 532-9887
Phone(417) 532-9166
Fax(417) 532-9887
Organization SubpartNo
Authorized OfficialJack D CrockerOwner · (417) 532-9166
Enumeration DateSeptember 27, 2011
Last NPPES UpdateOctober 29, 2025
NPPES CertifiedOctober 29, 2025
✔ NPI 1689957433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MO · MO004819
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.
464 N JEFFERSON AVE, Lebanon, MO 65536
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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

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JACK D CROCKER DC
Chiropractor
464 N JEFFERSON AVE
LEBANON, MO 65536
Laclede County (417) 532-9166
DR. MORGAN MOORE DC
Chiropractor
464 N JEFFERSON AVE
LEBANON, MO 65536
Laclede County (417) 532-9166
DR. SHANE R OGLE D.C.
Chiropractor
464 N JEFFERSON AVE
LEBANON, MO 65536
Laclede County (417) 532-9166

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.

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 9 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.