Organization Active NPI

Family Chiropractic Center

  • Chiropractor
  • El Dorado, AR
National Provider Identifier
1053513796
Registry record updated Jan 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1087 Issued in AR
Legal business name
FAMILY CHIROPRACTIC CENTER
Practice address
120 N College Ave
El Dorado, AR 71730-5402
Phone
(870) 862-9770
Fax
(870) 862-2127
NPI assigned
Jun 4, 2007
Last updated
Jan 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2009

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

Authorized official

Name
Mrs. Teresa Ann Brown
Title
Office Manager
Phone
(870) 862-9770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1087 AR Primary

Addresses

Primary practice location

120 N College Ave
El Dorado, AR 71730-5402

Mailing address

120 N College Ave
El Dorado, AR 71730-5402
Phone (870) 862-9770

Other identifiers 1

IdentifierTypeStateIssuer
119330718MedicaidAR

Other names 1

  • Rickey L. Brown Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231459200000",
    "number": "1053513796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N COLLEGE AVE",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717305402",
            "telephone_number": "870-862-9770",
            "fax_number": "870-862-2127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N COLLEGE AVE",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717305402",
            "telephone_number": "870-862-9770",
            "fax_number": "870-862-2127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2009-01-09",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "870-862-9770",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "1087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119330718",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rickey L. Brown",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in El Dorado, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2009; 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.