Individual provider Active NPI

William Allen Acridge, D.C.

  • Chiropractor
  • Lowell, AR
National Provider Identifier
1255619482
Registry record updated Aug 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
15928 Issued in AR
Practice address
117 S Dixieland St
Lowell, AR 72745-8655
Phone
(479) 770-0022
Fax
(479) 770-0093
NPI assigned
Jul 21, 2011
Last updated
Aug 16, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 15928 AR Primary

Addresses

Primary practice location

117 S Dixieland St
Lowell, AR 72745-8655

Mailing address

117 S Dixieland St
Lowell, AR 72745-8655
Phone (479) 770-0022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Blackmon Chiropractic Clinic, P.a. Chiropractor CurrentSince Aug 1, 2011 Accepting new patients
Diamond Therapy Partners, LLC PastSince Apr 1, 2020 Accepting new patients

Locations

7000 Cantrell Rd
Little Rock, AR 72207
Phone (501) 663-4101

Organizations & group practices 3

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": "1311206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376611200000",
    "number": "1255619482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 S DIXIELAND ST",
            "city": "LOWELL",
            "state": "AR",
            "postal_code": "727458655",
            "telephone_number": "479-770-0022",
            "fax_number": "479-770-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 S DIXIELAND ST",
            "city": "LOWELL",
            "state": "AR",
            "postal_code": "727458655",
            "telephone_number": "479-770-0022",
            "fax_number": "479-770-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACRIDGE",
        "first_name": "WILLIAM",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-21",
        "last_updated": "2013-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "15928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2013; 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.