Active NPI
Archway Chiropractic Health Inc
- Chiropractor
- Clarksville, AR
National Provider Identifier
1134870744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert Terry Kerbs, DC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5W153 | Other | AR | BCBS |
| 165759718 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220315000103 | AR | Part B Supplier - Clinic/Group Practice | 3173918109 |
Receives reassigned benefits from 1 practitioner Practice locations: Clarksville, AR |
National Provider Directory
National Provider DirectoryPractitioners & 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
- Leonela Alvarado
- Andrea M. Edgmon, LCSW, PLLC
- Angela Styles MD Dermatology & Dermatopathology PLLC
- Andrew Ankney
- Arcare
- Area Agency on Aging of Western Arkansas, Inc
- Area Agency on Aging of Western Arkansas, Inc
- Arkansas Em-I Byrne Medical Services, PA
- Arkansas Health and Wellness Center
- Arkansas River Valley Dentistry
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.