DR. CHARLES EDWARD CRIDDLE (NPI# 1760676274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760676274 |
| Entity Type | Individual |
| Full Name | DR. CHARLES EDWARD CRIDDLE |
| Credential | DC |
| Practice Address |
352 Newport Ave Long Beach CA 90814 |
| Practice Telephone | 5624388103 |
| Practice Fax Number | 5624388103 |
| Mailing Telephone | 5624388103 |
| Mailing Fax Number | 5624388103 |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2007-08-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC12148 | CA | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366646150 | Charles Travis Criddle | Pediatrics | 3277 E Louise Dr, Suite 200, Meridian, ID 83642-9351 | 2007-06-13 |
| Street Address |
352 NEWPORT AVE |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164797056 | Recovery At Sea | Community/Behavioral Health | 2345 East 4th Street, Long Beach, CA 90814 | 2012-03-12 |
| 1982869616 | James R Gaither Jr. | Rehabilitation Practitioner | 2017 E 4th Street, Long Beach, CA 90814 | 2008-07-22 |
| 1891911459 | Ting-wey Yen | Dentist | 319 Redondo Ave., Long Beach, CA 90814 | 2007-04-18 |
| 1194850495 | Donna Marie Camagay Calima | Dentist | 389 Redondo Ave, Long Beach, CA 90814 | 2007-02-23 |
| 1366595332 | Roger Justin Wood | Marriage & Family Therapist | 3424 E 4th St, Long Beach, CA 90814 | 2007-01-20 |
| 1467558338 | Rudy Steven Mendoza | Dentist | 392 Redondo Ave, Long Beach, CA 90814 | 2006-09-16 |
| 1578670766 | Seany Renfrow | Psychologist | 5170 Colorado, Long Beach, CA 90814 | 2006-08-24 |
| 1245210368 | Johnny L Triplett | Anesthesiology | 4674 East Barker Way, Long Beach, CA 90814 | 2006-01-17 |
| 1992960371 | Maria Veronica Uvero Racelis | Rehabilitation Practitioner | 2017 E 4th Street, Long Beach, CA 90814 | 2008-07-24 |
| 1639334360 | Ismael Morales | Rehabilitation Practitioner | 2017 E 4th Street, Long Beach, CA 90814 | 2008-07-22 |
| Find all providers in zip 90814 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457959223 | Howard Joseph Baron | Chiropractor | 360 Shore Rd Apt 6b, Long Beach, NY 11561-4374 | 2020-10-14 |
| 1386279933 | Michael P Majancsik, Dc, PC | Chiropractor | 3620 Long Beach Blvd Ste C8, Long Beach, CA 90807-6013 | 2020-03-04 |
| 1679105746 | Elidge Demete Anderson | Chiropractor | 272 E 69th Way, Long Beach, CA 90805-1240 | 2020-02-06 |
| 1013550409 | Impact Chiropractic, Smith Chiropractic Inc. | Chiropractor | 6621 E Pacific Coast Hwy Ste 120, Long Beach, CA 90803-4244 | 2019-10-18 |
| 1336618305 | Hanin Hawatmeh, D.c. A Professional Chiropractic Corporation | Chiropractor | 3701 Long Beach Blvd Ste 301, Long Beach, CA 90807-3346 | 2018-11-19 |
| 1487123675 | Adriana Lazare | Chiropractor | 18 Tennessee Ave, Long Beach, NY 11561-1320 | 2018-11-16 |
| 1730658022 | Enya Katz | Chiropractor | 4110 Elm Ave Apt 301, Long Beach, CA 90807-2737 | 2018-11-16 |
| 1225516206 | Ashley N Bruley | Chiropractor | 1945 Palo Verde Ave Ste 100, Long Beach, CA 90815-3444 | 2018-08-01 |
| 1659866259 | Esteban Sandoval | Chiropractor | 4195 N Viking Way Ste F, Long Beach, CA 90808-1470 | 2018-06-26 |
| 1174012116 | Morgan Turner | Chiropractor | 3950 Long Beach Blvd Ste 104, Long Beach, CA 90807-5410 | 2018-05-04 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90814 |
Please comment or provide details below to improve the information on DR. CHARLES EDWARD CRIDDLE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.