Organization Active NPI

Complete Chiropractic Solutions

  • Chiropractor
  • Centerton, AR
National Provider Identifier
1053787754
Registry record updated Aug 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
16107 Issued in AR
Legal business name
COMPLETE CHIROPRACTIC SOLUTIONS
Practice address
435 W Centerton Blvd
Centerton, AR 72719-8701
Phone
(479) 715-8027
Fax
(479) 668-0800
NPI assigned
Aug 17, 2015
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Michael C Colgrove, D.C.NPI 1326414517
Title
Registered Agent
Phone
(402) 690-2027

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Locations

435 W Centerton Blvd
Centerton, AR 72719
Phone (479) 715-8027

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 16107 AR Primary

Addresses

NPPES NPI Registry

Primary practice location

435 W Centerton Blvd
Centerton, AR 72719-8701

Mailing address

435 W Centerton Blvd
Centerton, AR 72719-8701
Phone (479) 715-8027

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 17, 2015.

{
    "created_epoch": "1439769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439769600000",
    "number": "1053787754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 W CENTERTON BLVD",
            "city": "CENTERTON",
            "state": "AR",
            "postal_code": "727198701",
            "telephone_number": "479-715-8027",
            "fax_number": "479-668-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 W CENTERTON BLVD",
            "city": "CENTERTON",
            "state": "AR",
            "postal_code": "727198701",
            "telephone_number": "479-715-8027",
            "fax_number": "479-668-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE CHIROPRACTIC SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-17",
        "last_updated": "2015-08-17",
        "status": "A",
        "authorized_official_last_name": "COLGROVE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "REGISTERED AGENT",
        "authorized_official_telephone_number": "402-690-2027",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "16107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerton, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2015; 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.