Randolph County Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1720 Issued in AR

Legal business name

RANDOLPH COUNTY CHIROPRACTIC, LLC

Practice address

302 Camp Rd
Pocahontas, AR 72455-9131

Phone

(870) 248-3300

NPI assigned

Feb 1, 2008

Last updated

Feb 1, 2008By 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

Dr. Amy D Bradley, D.C.NPI 1285811778

Title

Owner

Phone

(870) 248-3300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

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.

• Amy D. Bradley, D.C.

  • Chiropractor
  • Pocahontas, AR
  • NPI 1285811778
  Medicare reassignment NPD Authorized official
• Dennis Geary Basco, DC

  • Chiropractor
  • Pocahontas, AR
  • NPI 1073592218
  NPD (past)

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

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201824000000",
    "number": "1275711186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 CAMP RD",
            "city": "POCAHONTAS",
            "state": "AR",
            "postal_code": "724559131",
            "telephone_number": "870-248-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 CAMP RD",
            "city": "POCAHONTAS",
            "state": "AR",
            "postal_code": "724559131",
            "telephone_number": "870-248-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDOLPH COUNTY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-01",
        "last_updated": "2008-02-01",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-248-3300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "1720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah Christen Privett, A.P.N.
• Public Building Authority of the City of Pocahontas Arkansas (Randolph County ER Group)
• Puckett Dental LLC (Pocahontas Smiles)
• Angela D Quest-Allen, LPC
• Katie Radcliff
• Randolph County Clinic Corp (Pocahontas Healthcare Specialists)
• Randolph County Nursing Home (Randolph Home)
• Randolph Emergency Group LLC
• Randolph Operations, LLC (Pocahontas Healthcare and Rehab Center)
• Randolph SNF Operations LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; 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.