OrganizationActive
Outback Chiropractic LLC
NPI 1811175482 · Chiropractor · Saint Johns, AZ
Provider details
- NPI number
- 1811175482
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Lanny Crockett, Owner/President(928) 337-3125
Specialties & taxonomies
Chiropractic Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1200 W. Cleveland
Saint Johns, AZ 85936-1200
Phone: (928) 337-3125
Fax: (928) 337-3291
Street-level locationGet directions
Mailing address
Po Box 2578
Saint Johns, AZ 85936-2578
Registry dates
- Enumerated
- 2008-02-06
- Last updated
- 2008-02-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.