Betts Family Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1521 Issued in AR

Legal business name

BETTS FAMILY CHIROPRACTIC INC

Practice address

1811 Executive Square
Jonesboro, AR 72401

Phone

(870) 931-3722

Fax

(870) 802-0352

NPI assigned

Nov 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Paul Dwight Betts Jr., DCNPI 1972677268

Title

Chiropractor Owner

Phone

(870) 931-3722

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul Dwight Betts Jr., DC

  • Chiropractor
  • Jonesboro, AR
  • NPI 1972677268
  Medicare reassignment NPD Authorized official
• Jacob Cody Sauser, D.C.

  • Chiropractor
  • Jonesboro, AR
  • NPI 1356442479
  Medicare reassignment NPD
• Charles Michael Fletcher, OD

  • Optometrist
  • Jonesboro, AR
  • NPI 1518932730
  NPD (past)

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206403200000",
    "number": "1306910690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 EXECUTIVE SQUARE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "72401",
            "telephone_number": "870-931-3722",
            "fax_number": "870-802-0352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 EXECUTIVE SQUARE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "72401",
            "telephone_number": "870-931-3722",
            "fax_number": "870-802-0352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETTS FAMILY CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2008-03-25",
        "status": "A",
        "authorized_official_last_name": "BETTS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "DWIGHT",
        "authorized_official_title_or_position": "CHIROPRACTOR OWNER",
        "authorized_official_telephone_number": "870-931-3722",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "1521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUAL CHOICE QCA HEALTH PL",
            "identifier": "10171000040",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5U532",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7119090",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA ID",
            "identifier": "185223215763",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA ID",
            "identifier": "5510654",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bethel Burris Oliver PLLC
• Better Life Counseling Center Inc
• Chelsea Bettis, PTA
• Betts Clinic LLC
• Betts Family Chiropractic
• James Betts
• Kandral Betts
• Paul Dwight Betts Jr., DC
• Faith Kimberlin Smith Bevill, PA-C
• Jay K Bhama, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.