Individual provider Active NPI

Chez Khalid Hill, D.C.

  • Chiropractor
  • Conway, AR
National Provider Identifier
1336692383
Registry record updated Jul 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
16148 Issued in AR
Practice address
2100 Meadowlake Rd
Ste 10
Conway, AR 72032-2561
Phone
(501) 513-3322
Fax
(501) 513-3065
NPI assigned
Jul 26, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 16148 AR Primary

Addresses

Primary practice location

2100 Meadowlake Rd
Ste 10
Conway, AR 72032-2561

Mailing address

2100 Meadowlake Rd
Ste 10
Conway, AR 72032-2561
Phone (501) 513-3322

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
16148ARMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469491200000",
    "number": "1336692383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 MEADOWLAKE RD",
            "address_2": "STE 10",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720322561",
            "telephone_number": "501-513-3322",
            "fax_number": "501-513-3065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 MEADOWLAKE RD",
            "address_2": "STE 10",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720322561",
            "telephone_number": "501-513-3322",
            "fax_number": "501-513-3065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "CHEZ",
        "middle_name": "KHALID",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-26",
        "last_updated": "2016-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "16148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.