NPIMap

Organization Active NPI

Plaza Rehab and Wellness

  • Chiropractor
  • West Helena, AR
National Provider Identifier
1235299223
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1657 Issued in AR
Legal business name
PLAZA REHAB AND WELLNESS
Practice address
307 Plaza
West Helena, AR 72390-2453
Phone
(870) 572-9003
NPI assigned
Dec 11, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Vincent L Henderson, DCNPI 1639156664
Title
Owner
Phone
(870) 572-9003

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1657 AR Primary

Addresses

Primary practice location

307 Plaza
West Helena, AR 72390-2453

Mailing address

307 Plaza
West Helena, AR 72390-2453
Phone (870) 572-9003

Other identifiers 2

IdentifierTypeStateIssuer
1657OtherARARKANSAS STATE LICENSE
5F471OtherARBLUE CROSS GROUP ID

National Provider Directory

National Provider Directory

Locations

307 Plaza
West Helena, AR 72390
Phone (870) 572-9003

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235299223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 PLAZA",
            "city": "WEST HELENA",
            "state": "AR",
            "postal_code": "723902453",
            "telephone_number": "870-572-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 PLAZA",
            "city": "WEST HELENA",
            "state": "AR",
            "postal_code": "723902453",
            "telephone_number": "870-572-9003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAZA REHAB AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-572-9003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "1657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS STATE LICENSE",
            "identifier": "1657",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GROUP ID",
            "identifier": "5F471",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Helena, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.