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CHARLES T MCCRORY, DC MD, INC
NPI 1912285487
General Practice in Roseville, CA

Active since August 01, 2011
300 HARDING BLVD, SUITE 213, ROSEVILLE, CA 95678(916) 780-2800 Get Directions Write a Review

NPPES record last updated: August 1, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Charles T Mccrory, Dc Md, Inc NPPES

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

CHARLES T MCCRORY, DC MD, INC (NPI 1912285487) is a healthcare organization registered as a general practice in Roseville, California and active in the NPI registry since August 2011. The organization lists Charles Thomas Mccrory, Owner, as its authorized official.

NPPES Registry Identity

NPI1912285487
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameCHARLES T MCCRORY, DC MD, INC
Location Address300 HARDING BLVD, SUITE 213Roseville, CA 95678-2470
Mailing Address300 Harding Blvd, Suite 213Roseville, CA 95678-2470 · (916) 780-2800
Phone(916) 780-2800
Organization SubpartNo
Authorized OfficialCharles Thomas MccroryOwner · (916) 780-2800
Enumeration DateAugust 1, 2011
✔ NPI 1912285487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · A066088
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedChiropractorTaxonomy 111N00000X · License DC24046 (CA)
300 HARDING BLVD, Roseville, CA 95678
Open in Google Maps ↗

Other Identifiers 1

Medicare PIN00A660880CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Charles T Mccrory, Dc Md, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

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
StateCaliforniaEnrollment IDO20110815000378Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
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 Charles T Mccrory, Dc MD, Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Charles Mccrory, M.D., D.C
General Practice
NPI 1134211170
300 HARDING BLVD 213
Roseville, CA 95678
(916) 780-2800
✔ PECOS✔ 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 T Mccrory, Dc MD, Inc's NPI number?

The NPI number for Charles T Mccrory, Dc MD, Inc is 1912285487. It was assigned to this organization in the NPPES registry on August 1, 2011.

Where is Charles T Mccrory, Dc MD, Inc located?

Charles T Mccrory, Dc MD, Inc is located at 300 Harding Blvd Suite 213, Roseville, CA 95678. The listed phone number is (916) 780-2800.

What is Charles T Mccrory, Dc MD, Inc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Charles T Mccrory, Dc MD, Inc enrolled in Medicare?

Yes. Charles T Mccrory, Dc MD, Inc is registered in the Medicare PECOS enrollment system.

When is Charles T Mccrory, Dc MD, Inc'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 (California, Clinic/Group Practice) is due for revalidation by December 31, 2026. 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 Charles T Mccrory, Dc MD, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Practice) reassigns their Medicare billing to Charles T Mccrory, Dc MD, Inc. 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 T Mccrory, Dc MD, Inc was last updated on August 1, 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.