NPIMap

Organization Active NPI

Amethyst Chiropractic, PLLC

  • Clinic/Center
  • Bentonville, AR
National Provider Identifier
1043777436
Registry record updated Nov 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
AMETHYST CHIROPRACTIC, PLLC
Practice address
1100 Mallard PL Ste a
Bentonville, AR 72712-6850
Phone
(404) 484-2562
NPI assigned
Feb 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2020

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

Authorized official

Name
Dr. Ashley Monet McElroy, DCNPI 1356834998
Title
Chiropractor
Phone
(404) 484-2562

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1100 Mallard PL Ste a
Bentonville, AR 72712-6850

Mailing address

2303 SW Primrose Ave
Bentonville, AR 72713-7578
Phone (404) 484-2562

National Provider Directory

National Provider Directory

Locations

1100 Mallard Pl
Ste A
Bentonville, AR 72712
Phone (404) 484-2562

Practitioners & affiliated clinicians

Practitioners 1

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": "1550707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605484800000",
    "number": "1043777436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 SW PRIMROSE AVE",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727137578",
            "telephone_number": "404-484-2562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 MALLARD PL STE A",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727126850",
            "telephone_number": "404-484-2562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMETHYST CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-21",
        "last_updated": "2020-11-16",
        "certification_date": "2020-10-21",
        "status": "A",
        "authorized_official_last_name": "MCELROY",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "MONET",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "404-484-2562",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bentonville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.