Organization Active NPI

JRJ Family Enterprises LLC

  • Chiropractor
  • Bentonville, AR
National Provider Identifier
1043805708
Registry record updated Sep 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
JRJ FAMILY ENTERPRISES LLC
Doing business as
Ozark Valley Chiropractic
Practice address
1401 SW 14TH St Ste 9
Bentonville, AR 72712-3679
Phone
(479) 595-8726
Fax
(479) 282-0444
NPI assigned
Mar 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2021

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

Authorized official

Name
Dr. Jeremy Ray Johnson, D.C.
Title
Chiropractor
Phone
(501) 454-9961

Specialties & licenses 1

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

Addresses

Primary practice location

1401 SW 14TH St Ste 9
Bentonville, AR 72712-3679

Mailing address

1401 SW 14TH St Ste 99
Bentonville, AR 72712-3634
Phone (501) 454-9961

Other names 1

  • Ozark Valley Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

1401 SW 14th St
Ste 9
Bentonville, AR 72712
Phone (479) 595-8726

1401 SW 14th St
Ste 99
Bentonville, AR 72712

NPI Registry JSON

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632355200000",
    "number": "1043805708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 SW 14TH ST STE 99",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727123634",
            "telephone_number": "501-454-9961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 SW 14TH ST STE 9",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727123679",
            "telephone_number": "479-595-8726",
            "fax_number": "479-282-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JRJ FAMILY ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-04",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "501-454-9961",
        "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": [
        {
            "organization_name": "Ozark Valley Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ozark Valley Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 23, 2021; 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.