Brett Thackery, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

16223 Issued in AR

Practice address

2988 W Huntsville Ave Ste C
Springdale, AR 72762-7739

Phone

(479) 751-0190

NPI assigned

Aug 24, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1566604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566604800000",
    "number": "1053968941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2988 W HUNTSVILLE AVE STE C",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727627739",
            "telephone_number": "479-751-0190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2988 W HUNTSVILLE AVE STE C",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727627739",
            "telephone_number": "479-751-0190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THACKERY",
        "first_name": "BRETT",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-24",
        "last_updated": "2019-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "16223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2019; 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.