Nwa Chiropractic, PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1594 Issued in AR

Legal business name

NWA CHIROPRACTIC, PA

Practice address

1502 W Pleasant Grove Rd
Lowell, AR 72745-4513

Phone

(479) 633-8917

Fax

(479) 340-0220

NPI assigned

Dec 31, 2007

Last updated

May 10, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Philip Edward Bland, D.C.NPI 1740295609

Title

President

Phone

(479) 435-1051

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 2

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.

• Philip Edward Bland, D.C.

  • Chiropractor
  • Lowell, AR
  • NPI 1740295609
  Medicare reassignment NPD Authorized official
• Brandon Disbrow Denike, DC

  • Chiropractor
  • Siloam Springs, AR
  • NPI 1932686722
  NPD (past)

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652140800000",
    "number": "1053596700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 W PLEASANT GROVE RD",
            "city": "LOWELL",
            "state": "AR",
            "postal_code": "727454513",
            "telephone_number": "479-633-8917",
            "fax_number": "479-340-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 W PLEASANT GROVE RD",
            "city": "LOWELL",
            "state": "AR",
            "postal_code": "727454513",
            "telephone_number": "479-633-8917",
            "fax_number": "479-340-0220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "119 S Broadway St",
            "address_purpose": "LOCATION",
            "city": "Siloam Springs",
            "state": "AR",
            "postal_code": "727613127",
            "country_code": "US",
            "telephone_number": "479-633-8917",
            "fax_number": "479-340-0220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NWA CHIROPRACTIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-31",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A",
        "authorized_official_last_name": "BLAND",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-435-1051",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "1594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170494718",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsey Anne Myers, LCSW
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• Ozark Modern Dentistry, PLLC

• Chiropractor in Lowell, AR
• Providers in Lowell, AR by specialty
• Chiropractor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; 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.