Kody Lelan Chastain, D.C.

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

T16233 Issued in AR

Practice address

60 W Sunbridge Dr Ste 2
Fayetteville, AR 72703-1822

Phone

(479) 443-3553

NPI assigned

Oct 21, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Elevate Muscle & Joint

  • Rehabilitation Chiropractor
  • Fayetteville, AR
  • NPI 1356207583
  NPD Authorized official
• Apex Spine Joint & Wellness Inc

  • Chiropractor
  • Fayetteville, AR
  • NPI 1134979271
  NPD (past)

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

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1164065330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5023 W CHIMON WAY",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727046959",
            "telephone_number": "479-234-0463",
            "fax_number": "479-910-0316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 W SUNBRIDGE DR STE 2",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727031822",
            "telephone_number": "479-443-3553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHASTAIN",
        "first_name": "KODY",
        "middle_name": "LELAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-21",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "AR",
            "license": "T16233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lewis E Chamness, LPC
• Adam F Chandler, MD
• Donald Mac Chaney II, DDS
• Amanda Gail Chapman, PHARM.D.
• Angela C Chapman, M.D.
• Richard B Chastain, M.D.
• Griffin Chatterley, DO
• Jaime Chavez Espinosa
• Tania S Chavez Ochoa
• Analisa Hilda Chavez, LAC

• Rehabilitation Chiropractor in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Rehabilitation Chiropractor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; 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.