Organization Active NPI

Archway Chiropractic Health Inc

  • Chiropractor
  • Clarksville, AR
National Provider Identifier
1134870744
Registry record updated Jan 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ARCHWAY CHIROPRACTIC HEALTH INC
Practice address
1130 S Rogers St
Clarksville, AR 72830-9157
Phone
(479) 754-2500
Fax
(479) 754-3187
NPI assigned
Jan 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2022

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

Authorized official

Name
Robert Terry Kerbs, DCNPI 1942207964
Title
Incorporator/Organizer
Phone
(479) 754-2500

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 Primary

Addresses

Primary practice location

1130 S Rogers St
Clarksville, AR 72830-9157

Mailing address

1130 S Rogers St
Clarksville, AR 72830-9157
Phone (479) 754-2500

Other identifiers 2

IdentifierTypeStateIssuer
5W153OtherARBCBS
165759718MedicaidAR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220315000103 AR Part B Supplier - Clinic/Group Practice 3173918109 Receives reassigned benefits from 1 practitioner
Practice locations: Clarksville, AR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1642118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642118400000",
    "number": "1134870744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 S ROGERS ST",
            "city": "CLARKSVILLE",
            "state": "AR",
            "postal_code": "728309157",
            "telephone_number": "479-754-2500",
            "fax_number": "479-754-3187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 S ROGERS ST",
            "city": "CLARKSVILLE",
            "state": "AR",
            "postal_code": "728309157",
            "telephone_number": "479-754-2500",
            "fax_number": "479-754-3187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCHWAY CHIROPRACTIC HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-14",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A",
        "authorized_official_last_name": "KERBS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "TERRY",
        "authorized_official_title_or_position": "INCORPORATOR/ORGANIZER",
        "authorized_official_telephone_number": "479-754-2500",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5W153",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165759718",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; 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.