Organization Active NPI

Pinnacle Chiropractic

  • Chiropractor
  • Little Rock, AR
National Provider Identifier
1104285857
Registry record updated May 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
15751 Issued in AR
Legal business name
PINNACLE CHIROPRACTIC
Practice address
5507 Ranch Dr
Ste 3
Little Rock, AR 72223-4538
Phone
(501) 673-3110
Fax
(501) 673-3159
NPI assigned
Feb 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2016

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

Authorized official

Name
Dr. Jonathan David Jameson, D.C.NPI 1639457708
Title
Owner
Phone
(501) 673-3110

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 15751 AR Primary

Addresses

Primary practice location

5507 Ranch Dr
Ste 3
Little Rock, AR 72223-4538

Mailing address

5507 Ranch Dr
Ste 3
Little Rock, AR 72223-4538
Phone (501) 673-3110

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160525001420 AR Part B Supplier - Clinic/Group Practice 2668761024 Receives reassigned benefits from 1 practitioner
Practice locations: Little Rock, AR

National Provider Directory

National Provider Directory

Locations

5507 Ranch Dr
Ste 3
Little Rock, AR 72223
Phone (501) 673-3110

Practitioners & affiliated clinicians

Practitioners 2

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": "1456099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464134400000",
    "number": "1104285857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5507 RANCH DR",
            "address_2": "STE 3",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722234538",
            "telephone_number": "501-673-3110",
            "fax_number": "501-673-3159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5507 RANCH DR",
            "address_2": "STE 3",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722234538",
            "telephone_number": "501-673-3110",
            "fax_number": "501-673-3159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-22",
        "last_updated": "2016-05-25",
        "status": "A",
        "authorized_official_last_name": "JAMESON",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-673-3110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "15751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in 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 25, 2016; 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.