Mountain Home Family Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1492 Issued in AR

Legal business name

MOUNTAIN HOME FAMILY CHIROPRACTIC

Practice address

640 Highway 62 E
Mountain Home, AR 72653-3208

Phone

(870) 425-4424

NPI assigned

Jun 12, 2008

Last updated

Sep 9, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Charles Tilden Osgood Jr., D.C.NPI 1356351563

Title

President

Phone

(870) 425-4424

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles Osgood

  • Chiropractor
  • Mountain Home, AR
  • NPI 1356351563
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220918400000",
    "number": "1164682142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 HIGHWAY 62 E",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726533208",
            "telephone_number": "870-425-4424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 HIGHWAY 62 E",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726533208",
            "telephone_number": "870-425-4424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN HOME FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-12",
        "last_updated": "2008-09-09",
        "status": "A",
        "authorized_official_last_name": "OSGOOD",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "TILDEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-425-4424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "1492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chad Steven Mooney, PHARM.D.
• Merwin B Moore, MD
• Pamela Morton, RN
• Mountain Home Al Opco LLC
• Mountain Home Christian Clinic, Inc
• Mountain Home Nephrology and Pulmonology Clinic
• Mountain Home Psychiatric Medicine, PA
• Mountain Home Radiology Consultants
• Mountain Home School District
• Mountain Home SNF Opco LLC (Lake Forest Senior Living at Mountain Home)

• Chiropractor in Mountain Home, AR
• Providers in Mountain Home, AR by specialty
• Chiropractor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; 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.