Organization Active NPI

Forbess Family Wellness, L.L.C.

Doing business as Elevation Chiropractic

  • Chiropractor
  • Little Rock, AR
National Provider Identifier
1023757093
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
FORBESS FAMILY WELLNESS, L.L.C.
Doing business as
Elevation Chiropractic
Practice address
5300 Highland Dr Ste B
Little Rock, AR 72223-2000
Phone
(501) 916-9470
NPI assigned
May 30, 2022
Last updated
Oct 22, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
FORBESS FAMILY WELLNESS, L.L.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Authorized official

Name
Dr. Michiru Daniel Forbess, D.C.NPI 1962147512
Title
Owner
Phone
(501) 912-6073

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
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

5300 Highland Dr Ste B
Little Rock, AR 72223-2000

Mailing address

5300 Highland Dr Ste B
Little Rock, AR 72223-2000

Other names 1

  • Elevation Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220926000619 AR Part B Supplier - Clinic/Group Practice 5193101384 Receives reassigned benefits from 1 practitioner
Practice locations: Little Rock, AR

National Provider Directory

National Provider Directory
Part of
Forbess Family Wellness LLC

Locations

5300 Highland Dr
#B
Little Rock, AR 72223
Phone (501) 916-9470

8 Shackleford Plz
Ste 102
Little Rock, AR 72211
Phone (501) 712-1500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1653868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729555200000",
    "number": "1023757093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 HIGHLAND DR STE B",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722232000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 HIGHLAND DR STE B",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722232000",
            "telephone_number": "501-916-9470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORBESS FAMILY WELLNESS, L.L.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FORBESS FAMILY WELLNESS, L.L.C.",
        "enumeration_date": "2022-05-30",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A",
        "authorized_official_last_name": "FORBESS",
        "authorized_official_first_name": "MICHIRU",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-912-6073",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elevation Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Elevation Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.