Organization Active NPI

Peak Posture & Performance PLLC

  • Chiropractor
  • Springdale, AR
National Provider Identifier
1336607050
Registry record updated Mar 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PEAK POSTURE & PERFORMANCE PLLC
Practice address
7253 W Sunset Ave Ste I
Springdale, AR 72762-0991
Phone
(870) 805-5238
NPI assigned
Mar 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2019

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

Authorized official

Name
Edward R Virgil, DCNPI 1699138123
Title
Owner
Phone
(870) 805-5238

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: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

7253 W Sunset Ave Ste I
Springdale, AR 72762-0991

Mailing address

7253 W Sunset Ave Ste I
Springdale, AR 72762-0991

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190520000589 AR Part B Supplier - Clinic/Group Practice 3779826599 Receives reassigned benefits from 2 practitioners
Practice locations: Springdale, AR

National Provider Directory

National Provider Directory

Locations

7253 W Sunset Ave
Ste I
Tontitown, AR 72762
Phone (479) 333-2024

Practitioners & affiliated clinicians

Practitioners 2

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": "1552348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552348800000",
    "number": "1336607050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7253 W SUNSET AVE STE I",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727620991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7253 W SUNSET AVE STE I",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727620991",
            "telephone_number": "870-805-5238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK POSTURE & PERFORMANCE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-12",
        "last_updated": "2019-03-12",
        "status": "A",
        "authorized_official_last_name": "VIRGIL",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-805-5238",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; 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.