Active NPI
JRJ Family Enterprises LLC
- Chiropractor
- Bentonville, AR
National Provider Identifier
1043805708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
National Provider Directory
National Provider DirectoryLocations
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.