Organization Active NPI

P. S. E. Chiropractic Clinic, P.a.

  • Chiropractor
  • North Little Rock, AR
National Provider Identifier
1073831723
Registry record updated May 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
P. S. E. CHIROPRACTIC CLINIC, P.A.
Practice address
4401 Orange St
North Little Rock, AR 72118-3621
Phone
(501) 753-6034
Fax
(501) 753-1487
NPI assigned
May 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2010

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

Authorized official

Name
Dr. Peggy Sue Engelhoven, D.C.NPI 1144337346
Title
President
Phone
(501) 753-6034

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 Primary

Addresses

Primary practice location

4401 Orange St
North Little Rock, AR 72118-3621

Mailing address

4401 Orange St
North Little Rock, AR 72118-3621
Phone (501) 753-6034

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100616000973 AR Part B Supplier - Clinic/Group Practice 9931239043 Receives reassigned benefits from 1 practitioner
Practice locations: North Little Rock, AR

National Provider Directory

National Provider Directory

Locations

4401 Orange St
North Little Rock, AR 72118
Phone (501) 753-6034

Practitioners & affiliated clinicians

Practitioners 1

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": "1273017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273017600000",
    "number": "1073831723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 ORANGE ST",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721183621",
            "telephone_number": "501-753-6034",
            "fax_number": "501-753-1487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 ORANGE ST",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721183621",
            "telephone_number": "501-753-6034",
            "fax_number": "501-753-1487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P. S. E. CHIROPRACTIC CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-05",
        "last_updated": "2010-05-05",
        "status": "A",
        "authorized_official_last_name": "ENGELHOVEN",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-753-6034",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2010; 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.