Individual provider Active NPI

Miranda Oliver, DC

  • Chiropractor
  • Fort Smith, AR
National Provider Identifier
1225654379
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
16021 Issued in AR
Practice address
5518 Ellsworth Rd
Fort Smith, AR 72903-3222
Phone
(479) 551-3434
Fax
(479) 551-2337
NPI assigned
Jun 24, 2020
Last updated
May 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 16021 AR Primary

Addresses

Primary practice location

5518 Ellsworth Rd
Fort Smith, AR 72903-3222

Mailing address

5518 Ellsworth Rd
Fort Smith, AR 72903-3222
Phone (479) 806-6912

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200825000180 AR Practitioner - Chiropractic 6406271923 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5518 Ellsworth Rd
Fort Smith, AR 72903-3222
Phone (479) 551-3434

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Recovery Chiropractic PLLC Chiropractor CurrentSince Jun 12, 2020 Accepting new patients

Locations

5518 Ellsworth Rd
Fort Smith, AR 72903
Phone (479) 551-3434

7320 Rogers Ave
Ste 25
Fort Smith, AR 72903
Phone (479) 551-3434

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1225654379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5518 ELLSWORTH RD",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729033222",
            "telephone_number": "479-806-6912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5518 ELLSWORTH RD",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729033222",
            "telephone_number": "479-551-3434",
            "fax_number": "479-551-2337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "MIRANDA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-24",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "16021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; 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.

Verify at the official NPI Registry.