Chad Allyn Gannon

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

12484 Issued in AR

Practice address

4300 W 7TH St
Little Rock, AR 72205-5446

Phone

(208) 407-5863

NPI assigned

Mar 4, 2026

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1772582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1245185248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2960 SALEM OAKS DR",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720345028",
            "telephone_number": "208-407-5863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 W 7TH ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055446",
            "telephone_number": "208-407-5863"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "965 Carson Cv Ste A",
            "address_purpose": "LOCATION",
            "city": "Conway",
            "state": "AR",
            "postal_code": "720344851",
            "country_code": "US",
            "telephone_number": "501-472-7749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GANNON",
        "first_name": "CHAD",
        "middle_name": "ALLYN",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-03-04",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "12484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica C Gangluff, MS CCC-SLP
• Sandeepan Ganguly
• Dottie L Gann, BSN,RN,CRRN
• Michael Keith Gann Jr.
• Kristin Leigh Gannoe, MD
• Hope Willcutts Ganucheau
• Ling Gao, M.D., PH.D.
• Xiang Gao, MD
• Xiomara Carmen Garcia -Casal, MD
• Celeste Jashua Garcia Dubon, PHYSICIAN ASSISTANT

• Chiropractor in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Chiropractor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; 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.