Organization Active NPI

Family Chirpractic Care Inc.

  • Chiropractor
  • Southside, AR
National Provider Identifier
1316035330
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1308 Issued in AR
Legal business name
FAMILY CHIRPRACTIC CARE INC.
Practice address
163 Heber Springs Rd
Southside, AR 72501-8031
Phone
(870) 251-2560
Fax
(870) 251-3809
NPI assigned
Oct 11, 2006
Last updated
Jun 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Authorized official

Name
Dr. Tanya K Holt, D.C.NPI 1467431650
Title
Doctor/Owner
Phone
(870) 251-2560

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1308 AR Primary

Addresses

Primary practice location

163 Heber Springs Rd
Southside, AR 72501-8031

Mailing address

60 Allen Chapel Rd
Batesville, AR 72501-9787
Phone (870) 251-2560

Other identifiers 1

IdentifierTypeStateIssuer
125295718MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070824000508 AR Part B Supplier - Clinic/Group Practice 0244322063 Receives reassigned benefits from 3 practitioners
Practice locations: Southside, AR

National Provider Directory

National Provider Directory

Locations

163 Heber Springs Rd
Southside, AR 72501
Phone (870) 251-2560

60 Allen Chapel Rd
Southside, AR 72501
Phone (870) 251-2560

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685923200000",
    "number": "1316035330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 ALLEN CHAPEL RD",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725019787",
            "telephone_number": "870-251-2560",
            "fax_number": "870-251-3809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 HEBER SPRINGS RD",
            "city": "SOUTHSIDE",
            "state": "AR",
            "postal_code": "725018031",
            "telephone_number": "870-251-2560",
            "fax_number": "870-251-3809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CHIRPRACTIC CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2023-06-05",
        "certification_date": "2023-05-25",
        "status": "A",
        "authorized_official_last_name": "HOLT",
        "authorized_official_first_name": "TANYA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "870-251-2560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "1308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125295718",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southside, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; 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.