Organization Active NPI

Central Arkansas Chiropractic North Little Rock PLLC

  • Chiropractor
  • North Little Rock, AR
National Provider Identifier
1154600856
Registry record updated Aug 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
15639 Issued in AR
Legal business name
CENTRAL ARKANSAS CHIROPRACTIC NORTH LITTLE ROCK PLLC
Practice address
4196 E McCain Blvd
North Little Rock, AR 72117-2523
Phone
(501) 850-8400
Fax
(501) 850-8401
NPI assigned
Aug 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2011

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

Authorized official

Name
Brady Declerk, D.C.
Title
Chiropractor
Phone
(501) 850-8400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 15639 AR Primary

Addresses

Primary practice location

4196 E McCain Blvd
North Little Rock, AR 72117-2523

Mailing address

4196 E McCain Blvd
North Little Rock, AR 72117-2523
Phone (501) 850-8400

National Provider Directory

National Provider Directory

Locations

4196 E McCain Blvd
North Little Rock, AR 72117
Phone (501) 850-8400

NPI Registry JSON

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

{
    "created_epoch": "1313020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313020800000",
    "number": "1154600856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4196 E MCCAIN BLVD",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721172523",
            "telephone_number": "501-850-8400",
            "fax_number": "501-850-8401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4196 E MCCAIN BLVD",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721172523",
            "telephone_number": "501-850-8400",
            "fax_number": "501-850-8401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL ARKANSAS CHIROPRACTIC NORTH LITTLE ROCK PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-11",
        "last_updated": "2011-08-11",
        "status": "A",
        "authorized_official_last_name": "DECLERK",
        "authorized_official_first_name": "BRADY",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "501-850-8400",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "15639",
            "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 Aug 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.