CRATER CHIROPRACTIC CLINIC PC
NPI 1710930151
Chiropractor in Medford, OR

Active since May 18, 2006
3560 NATIONAL RD, SUITE 100, MEDFORD, OR 97504(541) 734-7333(541) 734-8802 Get Directions Write a Review

NPPES record last updated: October 15, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Crater Chiropractic Clinic Pc NPPES

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

CRATER CHIROPRACTIC CLINIC PC (NPI 1710930151) is a healthcare organization registered as a chiropractor in Medford, Oregon and active in the NPI registry since May 2006. The organization lists Michael L Warren, President, as its authorized official.

NPPES Registry Identity

NPI1710930151
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameCRATER CHIROPRACTIC CLINIC PC
Location Address3560 NATIONAL RD, SUITE 100Medford, OR 97504-4008
Mailing Address3560 National Rd, Suite 100Medford, OR 97504-4008 · (541) 734-7333 · Fax (541) 734-8802
Fax(541) 734-8802
Organization SubpartNo
Authorized OfficialMichael L WarrenPresident · (541) 734-7333
Enumeration DateMay 18, 2006
Last NPPES UpdateOctober 15, 2007
✔ NPI 1710930151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in OR · 272888
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.
3560 NATIONAL RD, Medford, OR 97504

Other Identifiers 5

Other1710930151OR · Npi Group
Medicare PIN131254OR
Other1790811511OR · Npi Individual
Medicare UPINU51124
Medicare ID-Type Unspecified131253

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

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Crater Chiropractic Clinic PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Chiropractic
NPI 1790811511
3560 NATIONAL RD SUITE 100
Medford, OR 97504
(541) 734-7333
✔ Accepts MedicareSame address
Chiropractic
NPI 1871595298
48134 HWY 58
Oakridge, OR 97463
(541) 782-4068
✔ Accepts Medicare97 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 Crater Chiropractic Clinic PC's NPI number?

The NPI number for Crater Chiropractic Clinic PC is 1710930151. It was assigned to this organization in the NPPES registry on May 18, 2006.

Where is Crater Chiropractic Clinic PC located?

Crater Chiropractic Clinic PC is located at 3560 National Rd Suite 100, Medford, OR 97504. The listed phone number is (541) 734-7333.

What is Crater Chiropractic Clinic PC's specialty?

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

Is Crater Chiropractic Clinic PC enrolled in Medicare?

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

How many clinicians bill Medicare through Crater Chiropractic Clinic PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Crater Chiropractic Clinic 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Crater Chiropractic Clinic PC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Crater Chiropractic Clinic PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Crater Chiropractic Clinic PC was last updated on October 15, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.