Organization Active NPI

Ozark Wellness

  • Chiropractor
  • Morrilton, AR
National Provider Identifier
1316709025
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
OZARK WELLNESS
Practice address
112 E Commerce St Ste B
Morrilton, AR 72110-2921
Phone
(501) 289-1596
NPI assigned
Jan 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Authorized official

Name
Dr. Rianna Nicodemus, DCNPI 1790411494
Title
Chiropractor
Phone
(501) 607-0025

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
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

112 E Commerce St Ste B
Morrilton, AR 72110-2921

Mailing address

112 E Commerce St Ste B
Morrilton, AR 72110-2921
Phone (501) 289-1596

Other practice location 1

4100 Heritage Dr
North Little Rock, AR 72117-2522
Phone (501) 607-0025

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240531001466 AR Part B Supplier - Clinic/Group Practice 6901248244 Receives reassigned benefits from 1 practitioner
Practice locations: Morrilton, AR

National Provider Directory

National Provider Directory

Locations

112 E Commerce St
Ste B
Morrilton, AR 72110
Phone (501) 289-1596

112 E Commerce St
Morrilton, AR 72110
Phone (501) 215-4896

4100 Heritage Dr
North Little Rock, AR 72117
Phone (501) 607-0025

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750723200000",
    "number": "1316709025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 E COMMERCE ST STE B",
            "city": "MORRILTON",
            "state": "AR",
            "postal_code": "721102921",
            "telephone_number": "501-289-1596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 E COMMERCE ST STE B",
            "city": "MORRILTON",
            "state": "AR",
            "postal_code": "721102921",
            "telephone_number": "501-289-1596"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4100 Heritage Dr",
            "address_purpose": "LOCATION",
            "city": "North Little Rock",
            "state": "AR",
            "postal_code": "721172522",
            "country_code": "US",
            "telephone_number": "501-607-0025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OZARK WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-29",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A",
        "authorized_official_last_name": "NICODEMUS",
        "authorized_official_first_name": "RIANNA",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "501-607-0025",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrilton, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; 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.