Organization Active NPI

Dr Kala R Hatch PA

  • Chiropractor
  • Mountain Home, AR
National Provider Identifier
1104154731
Registry record updated Nov 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1524 Issued in AR
Legal business name
DR KALA R HATCH PA
Practice address
230 Hwy 5 North
Suite #10
Mountain Home, AR 72653
Phone
(870) 508-4111
Fax
(870) 424-3761
NPI assigned
Nov 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2009

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

Authorized official

Name
Dr. Kala R Hatch, DC
Title
Owner
Phone
(870) 508-4111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1524 AR Primary

Addresses

Primary practice location

230 Hwy 5 North
Suite #10
Mountain Home, AR 72653

Mailing address

PO Box 1934
Mountain Home, AR 72654-1934
Phone (870) 508-4111

Other identifiers 3

IdentifierTypeStateIssuer
139112718MedicaidAR
5U393OtherARBLUE CROSS BLUE SHIELD
350046599OtherARRAILROAD MEDICARE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1258588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258588800000",
    "number": "1104154731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1934",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726541934",
            "telephone_number": "870-508-4111",
            "fax_number": "870-424-3761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 HWY 5 NORTH",
            "address_2": "SUITE #10",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "72653",
            "telephone_number": "870-508-4111",
            "fax_number": "870-424-3761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR KALA R HATCH PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-19",
        "last_updated": "2009-11-19",
        "status": "A",
        "authorized_official_last_name": "HATCH",
        "authorized_official_first_name": "KALA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-508-4111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "1524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139112718",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5U393",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350046599",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Home, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; 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.