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CHARLES F CRANDALL DC PA
NPI 1720477763
Chiropractor in Clearwater, FL

Active since January 14, 2015
1501 LAKEVIEW RD, CLEARWATER, FL 33756(727) 447-6779(727) 462-2634 Get Directions Write a Review

NPPES record last updated: January 14, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Charles F Crandall Dc Pa NPPES

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

CHARLES F CRANDALL DC PA (NPI 1720477763) is a healthcare organization registered as a chiropractor in Clearwater, Florida and active in the NPI registry since January 2015. The organization lists Charles F Crandall, President, as its authorized official.

NPPES Registry Identity

NPI1720477763
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameCHARLES F CRANDALL DC PA
Location Address1501 LAKEVIEW RDClearwater, FL 33756-3647
Mailing Address1501 Lakeview RdClearwater, FL 33756-3647 · (727) 447-6779 · Fax (727) 462-2634
Phone(727) 447-6779
Fax(727) 462-2634
Organization SubpartNo
Authorized OfficialCharles F CrandallPresident · (727) 447-6779
Enumeration DateJanuary 14, 2015
✔ NPI 1720477763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in FL · CH7804
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.
1501 LAKEVIEW RD, Clearwater, FL 33756
Open in Google Maps ↗

Other Identifiers 4

Other55998Blue Cross Blue Shield
Medicaid010609000FL
Medicare PIN55998FL
Other1148135FL · American Specialty Health

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles F Crandall Dc Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Charles F Crandall Dc PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Charles Crandall, D.C.
Chiropractic
NPI 1215993670
1501 LAKEVIEW RD
Clearwater, FL 33756
(727) 447-6779
✔ Accepts MedicareSame address

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 Charles F Crandall Dc PA's NPI number?

The NPI number for Charles F Crandall Dc PA is 1720477763. It was assigned to this organization in the NPPES registry on January 14, 2015.

Where is Charles F Crandall Dc PA located?

Charles F Crandall Dc PA is located at 1501 Lakeview Rd, Clearwater, FL 33756. The listed phone number is (727) 447-6779.

What is Charles F Crandall Dc PA's specialty?

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

Is Charles F Crandall Dc PA enrolled in Medicare?

Yes. Charles F Crandall Dc PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Charles F Crandall Dc PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Charles F Crandall Dc PA. 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 Charles F Crandall Dc PA was last updated on January 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.