Individual provider Active NPI

Maddison Ganann, DC

  • Chiropractor
  • Little Rock, AR
National Provider Identifier
1124672100
Registry record updated Jul 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
16212 Issued in AR
Practice address
14300 Cantrell Rd Ste 110
Little Rock, AR 72223-4698
Phone
(501) 367-5184
Fax
(501) 367-5186
NPI assigned
Jul 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 16212 AR Primary

Addresses

Primary practice location

14300 Cantrell Rd Ste 110
Little Rock, AR 72223-4698

Mailing address

14300 Cantrell Rd Ste 110
Little Rock, AR 72223-4698
Phone (501) 367-5184

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201214000941 AR Practitioner - Chiropractic 7719399963 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seh Holdings, PLLCGroup PAC ID 2668884818, 5 clinicians

Practice addresses (Care Compare)

13924 Cantrell Rd
Suite C
Little Rock, AR 72223-1518
Phone (479) 236-7954

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Seh Holdings, PLLC Chiropractor CurrentSince Jan 18, 2021 Accepting new patients

Locations

13924 Cantrell Rd
Ste C
Little Rock, AR 72223
Phone (479) 236-7954

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564358400000",
    "number": "1124672100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14300 CANTRELL RD STE 110",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722234698",
            "telephone_number": "501-367-5184",
            "fax_number": "501-367-5186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14300 CANTRELL RD STE 110",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722234698",
            "telephone_number": "501-367-5184",
            "fax_number": "501-367-5186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANANN",
        "first_name": "MADDISON",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-29",
        "last_updated": "2019-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "16212",
            "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 Jul 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.