NPIMap

Organization Active NPI

Sewell Healthwise Chiropractic P.a.

  • Chiropractor
  • Springdale, AR
National Provider Identifier
1013130236
Registry record updated May 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SEWELL HEALTHWISE CHIROPRACTIC P.A.
Practice address
3291 S Thompson St
Ste D102
Springdale, AR 72764-7043
Phone
(479) 756-9661
Fax
(479) 756-6251
NPI assigned
Apr 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Mark Andrew Sewell, D.C.NPI 1811055023
Title
Owner
Phone
(479) 756-9661

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

3291 S Thompson St
Ste D102
Springdale, AR 72764-7043

Mailing address

3291 S Thompson St
Ste D102
Springdale, AR 72764-7043
Phone (479) 756-9661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100505000269 AR Part B Supplier - Clinic/Group Practice 1355479726 Receives reassigned benefits from 1 practitioner
Practice locations: Springdale, AR

National Provider Directory

National Provider Directory

Locations

3291 S Thompson St
Ste D102
Springdale, AR 72764
Phone (479) 756-9661

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273449600000",
    "number": "1013130236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3291 S THOMPSON ST",
            "address_2": "STE D102",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727647043",
            "telephone_number": "479-756-9661",
            "fax_number": "479-756-6251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3291 S THOMPSON ST",
            "address_2": "STE D102",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727647043",
            "telephone_number": "479-756-9661",
            "fax_number": "479-756-6251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEWELL HEALTHWISE CHIROPRACTIC P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2010-05-10",
        "status": "A",
        "authorized_official_last_name": "SEWELL",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-756-9661",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.