Active NPI
Shawn M Tompkins, D.C.
- Chiropractor
- Melbourne, AR
National Provider Identifier
1225003205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1285
- Practice address
- 2575 East Main St
Melbourne, AR 72556 - Phone
- (870) 368-5690
- Fax
- (870) 368-5691
- NPI assigned
- Feb 22, 2006
- Last updated
- Oct 14, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1285 | AR | Primary |
Addresses
Primary practice location
2575 East Main St
Melbourne, AR 72556
Mailing address
2575 East Main St
Melbourne, AR 72556
Phone (870) 368-5690
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 59917 | Other | AR | BLUE CROSS BLUE SHIELD |
| 123085718 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080418000494 | AR | Practitioner - Chiropractic | 5991883795 | Practice locations: Melbourne, AR |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2575 E Main St
Melbourne, AR 72556-0001
Phone (870) 368-5690
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381708800000",
"number": "1225003205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2575 EAST MAIN ST",
"city": "MELBOURNE",
"state": "AR",
"postal_code": "72556",
"telephone_number": "870-368-5690",
"fax_number": "870-368-5691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2575 EAST MAIN ST",
"city": "MELBOURNE",
"state": "AR",
"postal_code": "72556",
"telephone_number": "870-368-5690",
"fax_number": "870-368-5691"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOMPKINS",
"first_name": "SHAWN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-22",
"last_updated": "2013-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AR",
"license": "1285",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "59917",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "123085718",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Melbourne, AR
- Sonya Wiles Dental Office, Inc
- State of Arkansas (Izard County Health Unit)
- Kyle Taylor, RECOVERY ASSISTANT
- Stephanie Lynn Teague, LPTA
- Michael Thompson, RECOVERY ASSISTANT
- Total Resolutions Chiropractic
- Roger Byron Totten, OD
- Twin Lakes Therapy & Living Center, Inc.
- James Walls, RECOVERY ASSISTANT
- Tiffany Ann Webb, MCD, CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2013; 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.