NPIMap

Organization Active NPI

Jim Schilling Chiropractic P.a.

  • Chiropractor
  • Fort Smith, AR
National Provider Identifier
1073775615
Registry record updated Apr 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
15696 Issued in AR
Legal business name
JIM SCHILLING CHIROPRACTIC P.A.
Practice address
1200 S Waldron Rd
Ste155
Fort Smith, AR 72903-2629
Phone
(479) 452-4433
NPI assigned
Jun 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2015

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

Authorized official

Name
Dr. Jim Stephen Schilling, D.C.NPI 1578738423
Title
President
Phone
(479) 420-6602

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 15696 AR Primary

Addresses

Primary practice location

1200 S Waldron Rd
Ste155
Fort Smith, AR 72903-2629

Mailing address

1200 S Waldron Rd
Ste155
Fort Smith, AR 72903-2629
Phone (479) 452-4433

Other names 1

  • Elite Chiropractic Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151023002333 AR Part B Supplier - Clinic/Group Practice 4587973003 Receives reassigned benefits from 3 practitioners
Practice locations: Fort Smith, AR

National Provider Directory

National Provider Directory

Locations

1200 S Waldron Rd
#155
Fort Smith, AR 72903
Phone (479) 452-4433

803 E Bridge St
Redwood Falls, MN 56283
Phone (320) 220-2661

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428451200000",
    "number": "1073775615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 S WALDRON RD",
            "address_2": "STE155",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729032629",
            "telephone_number": "479-452-4433",
            "fax_number": "479-452-0034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S WALDRON RD",
            "address_2": "STE155",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729032629",
            "telephone_number": "479-452-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIM SCHILLING CHIROPRACTIC P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-25",
        "last_updated": "2015-04-08",
        "status": "A",
        "authorized_official_last_name": "SCHILLING",
        "authorized_official_first_name": "JIM",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-420-6602",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "15696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2015; 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.