CHARLES THOMAS MCCRORY M.D. D.C NPI 1134211170

NPI Information

  • NPI: 1134211170
  • Provider Name: CHARLES THOMAS MCCRORY, M.D., D.C
  • Classification: General Practice - 208D00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • CLIA Number: 05D2016844
  • Address: 300 HARDING BLVD
    213
    ROSEVILLE, CA
    ZIP 95678
  • Phone: (916) 780-2800

Map and Directions

Get Directions

NPI Details

Charles Thomas Mccrory, M.D., D.C is a general practice in Roseville, CA with 29 years of experience. The provider is 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 Charles Thomas Mccrory, M.D., D.C NPI is 1134211170. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

300 HARDING BLVD
213
ROSEVILLE, CA
ZIP 95678-474
Phone: (916) 780-2800
Fax: (916) 780-1130

The NPI 1134211170 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 05D2016844 - physician office with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Application of ultrasound, each 15 minutes (HCPCS:97035)
  • Osteopathic manipulative treatment, 5-6 body regions (HCPCS:98927)
  • Osteopathic manipulative treatment, 3-4 body regions (HCPCS:98926)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Osteopathic manipulative treatment, 1-2 body regions (HCPCS:98925)

The enumeration date for this NPI number is 9/28/2006 and was last updated on 4/4/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractorDC24046CALIFORNIANo
2208D00000XGeneral PracticeA066088CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1G89111MEDICARE UPINCALIFORNIA
200A660880MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.