Crocker Chiropractic, LLC
Crocker Chiropractic, LLC is a healthcare organization registered as Chiropractor in Lebanon, MO, holding Type 2 (organization) NPI 1689957433 since 2011. The authorized official on file is Jack Crocker, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1689957433 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Crocker Chiropractic, LLC |
| Practice address | 464 N JEFFERSON AVE, Lebanon, MO, 65536 |
| Phone | 4175329166 |
| Fax | 4175329887 |
| Enumeration date | 2011-09-27 |
| Last updated in NPPES | 2025-10-29 |
Authorized official
| Name | Jack Crocker |
|---|---|
| Title | Owner |
| Phone | 4175329166 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 111N00000X | Chiropractor | Primary | MO004819 | MO |
Copy-ready billing details
Provider: Crocker Chiropractic, LLC NPI: 1689957433 Taxonomy: 111N00000X (Chiropractor) Address: 464 N JEFFERSON AVE, Lebanon, MO, 65536
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1558321638 | Jack Crocker | Individual | Chiropractor | Lebanon, MO |
| 1760741813 | Shane Ogle | Individual | Chiropractor | Lebanon, MO |
| 1710861570 | Morgan Moore | Individual | Chiropractor | Lebanon, MO |
Verify this record
Cross-check NPI 1689957433 against the authoritative CMS record: view Crocker Chiropractic, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Crocker Chiropractic, LLC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-10-29.