Arkansas Holistic Health Care Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ARKANSAS HOLISTIC HEALTH CARE CHIROPRACTIC

Practice address

2618 MLK Jr Blvd
Fayetteville, AR 72701

Phone

(479) 521-7755

Fax

(479) 521-6965

NPI assigned

Jan 14, 2019

Last updated

Mar 26, 2024By 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

Jordan Daniel Travis, D.C.NPI 1568870061

Title

Doctor/Owner

Phone

(479) 521-7755

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 4

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.

• Jordan Travis, D.C.

  • Chiropractor
  • Fayetteville, AR
  • NPI 1568870061
  Medicare reassignment NPD Authorized official
• Jaclyn Nicole Crowder, DC

  • Chiropractor
  • Fayetteville, AR
  • NPI 1982318606
  NPD
• Dominque Williams, LMT

  • Massage Therapist
  • Fayetteville, AR
  • NPI 1821767468
  NPD
• Larry C. Weeks, D.C.

  • Chiropractor
  • Fayetteville, AR
  • NPI 1871591057
  NPD (past)

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

{
    "created_epoch": "1547424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1235603200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2618 MLK JR BLVD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "72701",
            "telephone_number": "479-521-7755",
            "fax_number": "479-521-6965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2618 MLK JR BLVD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "72701",
            "telephone_number": "479-521-7755",
            "fax_number": "479-521-6965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS HOLISTIC HEALTH CARE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-14",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "TRAVIS",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "479-521-7755",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arkansas CVS Pharmacy LLC (CVS Pharmacy #16802)
• Arkansas CVS Pharmacy, L.L.C. (CVS Pharmacy # 10409)
• Arkansas Em-I Byrne Medical Services P.a.
• Arkansas Foot & Ankle Specialists
• Arkansas Gatewood Emergency Room Services, PA
• Arkansas Medical Imaging JV LLC
• Arkansas Mental Health Institute
• Arkansas MRI Services, LLC
• Arkansas Nutrition PLLC
• Arkansas Outpatient Eye Surgery LLC

• Chiropractor in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Chiropractor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; 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.