Organization Active NPI

Holistic Touch Medical Centers PLLC

  • Chiropractor
  • Little Rock, AR
National Provider Identifier
1114161965
Registry record updated Feb 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1681 Issued in AR
Legal business name
HOLISTIC TOUCH MEDICAL CENTERS PLLC
Practice address
500 S University Ave Ste 515
Little Rock, AR 72205-5306
Phone
(501) 280-0250
Fax
(501) 280-0260
NPI assigned
Apr 23, 2009
Last updated
Feb 2, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2017

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

Authorized official

Name
Dr. Kendall Levell WilsonNPI 1730192162
Title
Chiropractor
Phone
(501) 658-9000

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 1681 AR Primary

Addresses

Primary practice location

500 S University Ave Ste 515
Little Rock, AR 72205-5306

Mailing address

P.O. Box 3554
Little Rock, AR 72203
Phone (501) 658-9000

Other identifiers 1

IdentifierTypeStateIssuer
163017718MedicaidAR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170202000504 AR Part B Supplier - Clinic/Group Practice 2567745326 Receives reassigned benefits from 1 practitioner
Practice locations: Little Rock, AR

National Provider Directory

National Provider Directory

Locations

500 S University Ave
Ste A23
Little Rock, AR 72205
Phone (501) 280-0250

Practitioners & affiliated clinicians

Practitioners 2

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": "1240444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485993600000",
    "number": "1114161965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 3554",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72203",
            "telephone_number": "501-658-9000",
            "fax_number": "501-280-0260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S UNIVERSITY AVE STE 515",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055306",
            "telephone_number": "501-280-0250",
            "fax_number": "501-280-0260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC TOUCH MEDICAL CENTERS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-23",
        "last_updated": "2017-02-02",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "KENDALL",
        "authorized_official_middle_name": "LEVELL",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "501-658-9000",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "1681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163017718",
            "state": "AR"
        }
    ],
    "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 Feb 2, 2017; 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.