Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jack D Crocker, DC

Individual provider Chiropractor · NPI 1558321638

Dr. Jack D Crocker, DC is a Chiropractic in Lebanon, Missouri. Graduated from Logan College of Chiropractic in 1983, 43 years ago. Accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
43
Trained at
Logan College of Chiropractic
Licensed in
MO
In the registry since
2006
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

464 N Jefferson Ave
Lebanon, MO 65536-2742
Phone: (417) 532-9166
Fax: (417) 532-9887
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 004819 (MO)

Record details

NPI number1558321638
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedMarch 24, 2006
Last updated in NPPESMay 2, 2014
Mailing address464 N Jefferson Ave, Lebanon, MO 65536-2742

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolLOGAN COLLEGE OF CHIROPRACTIC
Graduated 1983 (43 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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