Active NPI
Perry County Chiropractic, LLC
- Chiropractor
- Perryville, AR
National Provider Identifier
1184103376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 16033
- Legal business name
- PERRY COUNTY CHIROPRACTIC, LLC
- Doing business as
- Perry County Chiropractic
- Practice address
- 130 Houston Ave
Perryville, AR 72126-9451 - Phone
- (501) 889-5555
- Fax
- (501) 851-6495
- NPI assigned
- Aug 9, 2018
- 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
- Dr. Tray Robert Fowler, D.C.
- Title
- Chiropractor/Partner
- Phone
- (214) 632-9022
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 16033 | AR | Primary |
Addresses
Primary practice location
130 Houston Ave
Perryville, AR 72126-9451
Mailing address
103 Park Dr
Maumelle, AR 72113-7407
Phone (501) 851-6685
Other names 1
- Perry County Chiropractic
National Provider Directory
National Provider DirectoryLocations
103 Park Dr
Maumelle, AR 72113
Phone (501) 851-6685
130 Houston Ave
Perryville, AR 72126
Phone (501) 889-5555
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Maumelle, AR
- NPI 1639457708
-
- Chiropractor
- Mayflower, AR
- NPI 1437911088
-
- Chiropractor
- Mayflower, AR
- NPI 1134693609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533772800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1541980800000",
"number": "1184103376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 PARK DR",
"city": "MAUMELLE",
"state": "AR",
"postal_code": "721137407",
"telephone_number": "501-851-6685",
"fax_number": "501-851-6495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 HOUSTON AVE",
"city": "PERRYVILLE",
"state": "AR",
"postal_code": "721269451",
"telephone_number": "501-889-5555",
"fax_number": "501-851-6495"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERRY COUNTY CHIROPRACTIC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-09",
"last_updated": "2018-11-12",
"status": "A",
"authorized_official_last_name": "FOWLER",
"authorized_official_first_name": "TRAY",
"authorized_official_middle_name": "ROBERT",
"authorized_official_title_or_position": "CHIROPRACTOR/PARTNER",
"authorized_official_telephone_number": "214-632-9022",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "AR",
"license": "16033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Perry County Chiropractic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Perryville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.