Oldham Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1542 Issued in AR

Legal business name

OLDHAM CHIROPRACTIC

Practice address

827 E Main St
Blytheville, AR 72315-2521

Phone

(870) 763-8155

Fax

(870) 838-1589

NPI assigned

Feb 14, 2007

Last updated

Aug 22, 2020By 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

Michael C Oldham, D.CNPI 1063477479

Title

Owner Doctor

Phone

(870) 763-8155

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Oldham Chiropractic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Oldham Chiropratic

  • Chiropractor
  • Blytheville, AR
  • NPI 1770662058
  NPD tax ID

Practitioners 1

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.

• Michael C Oldham, D.C.

  • Chiropractor
  • Blytheville, AR
  • NPI 1063477479
  Authorized official Same address or phone

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285777094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 45",
            "city": "BLYTHEVILLE",
            "state": "AR",
            "postal_code": "723160045",
            "telephone_number": "870-763-8155",
            "fax_number": "870-838-1589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 E MAIN ST",
            "city": "BLYTHEVILLE",
            "state": "AR",
            "postal_code": "723152521",
            "telephone_number": "870-763-8155",
            "fax_number": "870-838-1589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLDHAM CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OLDHAM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "870-763-8155",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "1542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5C699",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• North Division Street Emergency Physicians
• Northeast Arkansas Community Mental Health Center Inc (Mid South Health Systems, Inc.)
• Northeast Arkansas Community Mental Health Center Inc (Mid-South Health Systems Inc)
• Northeast Arkansas Community Mental Health Center Inc (MidSouth Health Systems)
• Nutritional Care LLC
• Oldham Chiropratic
• Michael C Oldham, D.C.
• Valarie Ranae Oldham, DPT
• Bennie Ousley Jr.
• Patricia L Ousley, MHPP

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

• 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.