Organization Active NPI

Ozark Chiropractic Clinic

  • Chiropractor
  • Ozark, AR
National Provider Identifier
1356413371
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1053 Issued in AR
Legal business name
OZARK CHIROPRACTIC CLINIC
Practice address
600 W College
Ozark, AR 72949
Phone
(479) 667-5053
Fax
(479) 667-5341
NPI assigned
Nov 14, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Philip L Ulmschneider, DCNPI 1770655797
Title
President
Phone
(479) 667-5053

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 1053 AR Primary

Addresses

Primary practice location

600 W College
Ozark, AR 72949

Mailing address

600 W College
Ozark, AR 72949
Phone (479) 667-5053

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101214000741 AR Part B Supplier - Clinic/Group Practice 8527255793 Receives reassigned benefits from 1 practitioner
Practice locations: Ozark, AR

National Provider Directory

National Provider Directory

Locations

600 W College St
Ozark, AR 72949
Phone (479) 667-5053

Practitioners & affiliated clinicians

Practitioners 1

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": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356413371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W COLLEGE",
            "city": "OZARK",
            "state": "AR",
            "postal_code": "72949",
            "telephone_number": "479-667-5053",
            "fax_number": "479-667-5341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W COLLEGE",
            "city": "OZARK",
            "state": "AR",
            "postal_code": "72949",
            "telephone_number": "479-667-5053",
            "fax_number": "479-667-5341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OZARK CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ULMSCHNEIDER",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-667-5053",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "1053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ozark, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.