Active NPI
Donald Cassidy, D.C.
- Chiropractor
- Magnolia, AR
National Provider Identifier
1053723601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1302
- Practice address
- 2210 N Jackson
Magnolia, AR 71753-2065 - Phone
- (870) 904-8932
- NPI assigned
- May 29, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1302 | AR | Primary |
Addresses
Primary practice location
2210 N Jackson
Magnolia, AR 71753-2065
Mailing address
2210 N Jackson
Magnolia, AR 71753-2065
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1302 | AR | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401321600000",
"number": "1053723601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2210 N JACKSON",
"city": "MAGNOLIA",
"state": "AR",
"postal_code": "717532065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2210 N JACKSON",
"city": "MAGNOLIA",
"state": "AR",
"postal_code": "717532065",
"telephone_number": "870-904-8932"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASSIDY",
"first_name": "DONALD",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-05-29",
"last_updated": "2014-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AR",
"license": "1302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Magnolia, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.