Active NPI
Clyde Maxwell Norris, DC
- Chiropractor
- Huntsville, AR
National Provider Identifier
1326129040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1402
- Practice address
- 510 S Harris
Huntsville, AR 72740 - Phone
- (479) 738-1300
- NPI assigned
- Oct 18, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1402 | AR | Primary |
Addresses
Primary practice location
510 S Harris
Huntsville, AR 72740
Mailing address
PO Box 1048
Huntsville, AR 72740
Phone (479) 738-1300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5T315 | Other | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1402 | AR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1326129040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1048",
"city": "HUNTSVILLE",
"state": "AR",
"postal_code": "72740",
"telephone_number": "479-738-1300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 S HARRIS",
"city": "HUNTSVILLE",
"state": "AR",
"postal_code": "72740",
"telephone_number": "479-738-1300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORRIS",
"first_name": "CLYDE",
"middle_name": "MAXWELL",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AR",
"license": "1402",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "5T315",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Huntsville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.