Individual provider Active NPI

Peggy Sue Engelhoven, D.C.

  • Chiropractor
  • North Little Rock, AR
National Provider Identifier
1144337346
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
985 Issued in AR
Practice address
4401 Orange St
North Little Rock, AR 72118-3621
Phone
(501) 753-6034
Fax
(501) 753-1487
NPI assigned
Aug 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 985 AR Primary

Addresses

Primary practice location

4401 Orange St
North Little Rock, AR 72118-3621

Mailing address

4401 North Orange Street
North Little Rock, AR 72118
Phone (501) 753-6034

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100616000975 AR Practitioner - Chiropractic 1759411861 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4401 N Orange St
North Little Rock, AR 72118-3621
Phone (501) 753-6034

4401 Orange St
North Little Rock, AR 72118-3621

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
P. S. E. Chiropractic Clinic, P.a. Chiropractor CurrentSince Jun 1, 2010 Accepting new patients

Locations

4401 Orange St
North Little Rock, AR 72118
Phone (501) 753-6034

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": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144337346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 NORTH ORANGE STREET",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "72118",
            "telephone_number": "501-753-6034",
            "fax_number": "501-753-1487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 ORANGE ST",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721183621",
            "telephone_number": "501-753-6034",
            "fax_number": "501-753-1487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGELHOVEN",
        "first_name": "PEGGY",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North 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 8, 2007; 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.