Michael C Oldham D C P a

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1542 Issued in AR

Legal business name

MICHAEL C OLDHAM D C P A

Practice address

827 E Main St
Ste B
Blytheville, AR 72315-2521

Phone

(870) 763-8155

Fax

(870) 838-1589

NPI assigned

Apr 6, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Michael C Oldham, D CNPI 1063477479

Title

Owner

Phone

(870) 763-8155

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.

• Michael C Oldham, D.C.

  • Chiropractor
  • Blytheville, AR
  • NPI 1063477479
  Medicare reassignment NPD Authorized official
• Kelly Rebekah Wilkerson Dullenty, D.C.

  • Chiropractor
  • Bloomington, IL
  • NPI 1952588956

  AR

  Medicare reassignment NPD

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

{
    "created_epoch": "1333670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333670400000",
    "number": "1306102181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 E MAIN ST",
            "address_2": "STE B",
            "city": "BLYTHEVILLE",
            "state": "AR",
            "postal_code": "723152521",
            "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",
            "address_2": "STE B",
            "city": "BLYTHEVILLE",
            "state": "AR",
            "postal_code": "723152521",
            "telephone_number": "870-763-8155",
            "fax_number": "870-838-1589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL C OLDHAM D C P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-06",
        "last_updated": "2012-04-06",
        "status": "A",
        "authorized_official_last_name": "OLDHAM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-763-8155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "1542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Markeeta Lashawn McRay
• Maria Denise Meadows
• Medsource DME, Inc
• Lartyania Merriweather, LMSW
• Orson Meyer
• Mid South Retina Associates, LLC
• Charlotte Middlebrook, BA MHPP
• Midsouth Medicine & Psychiatry Consultants PA
• Ashton Marie Milam
• Kayla Miller-Chapman, MS CCC-SLP

• 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 Apr 6, 2012; 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.