Organization Active NPI

Health Choice Chiropractic Inc

Doing business as Health Choice Chiropractic and Massage

  • Chiropractor
  • Conway, AR
National Provider Identifier
1114123940
Registry record updated Jul 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1569 Issued in AR
Legal business name
HEALTH CHOICE CHIROPRACTIC INC
Doing business as
Health Choice Chiropractic and Massage
Practice address
611 Court St
Suite 9
Conway, AR 72032-5446
Phone
(501) 358-4894
Fax
(501) 358-4891
NPI assigned
Jun 27, 2007
Last updated
Jul 9, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2014

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

Authorized official

Name
Dr. Thomas Edward Carlyle, D.C.NPI 1093789042
Title
President
Phone
(501) 358-4894

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
Chiropractor 111N00000X 1569 AR Primary

Addresses

Primary practice location

611 Court St
Suite 9
Conway, AR 72032-5446

Mailing address

611 Court St
Suite 9
Conway, AR 72032-5446
Phone (501) 358-4894

Other identifiers 2

IdentifierTypeStateIssuer
21462OtherWYMEDICARE PTAN
142756718MedicaidAR

Other names 1

  • HEALTH CHOICE CHIROPRACTIC AND MASSAGE Doing business as

National Provider Directory

National Provider Directory

Locations

611 Court St
Ste 9
Conway, AR 72032
Phone (501) 358-4894

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404864000000",
    "number": "1114123940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 COURT ST",
            "address_2": "SUITE 9",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720325446",
            "telephone_number": "501-358-4894",
            "fax_number": "501-358-4891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 COURT ST",
            "address_2": "SUITE 9",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720325446",
            "telephone_number": "501-358-4894",
            "fax_number": "501-358-4891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH CHOICE CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2014-07-09",
        "status": "A",
        "authorized_official_last_name": "CARLYLE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-358-4894",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "1569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "21462",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142756718",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEALTH CHOICE CHIROPRACTIC AND MASSAGE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Conway, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; 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.