Individual provider Active NPI

Alexander S Yu, D.C.

  • Chiropractor
  • Springdale, AR
National Provider Identifier
1376698662
Registry record updated Oct 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1697 Issued in AR
Practice address
501 W Emma Ave
Ste a
Springdale, AR 72764-4417
Phone
(479) 365-2488
NPI assigned
Jan 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1697 AR Primary

Addresses

Primary practice location

501 W Emma Ave
Ste a
Springdale, AR 72764-4417

Mailing address

1109 NW 7TH St
Bentonville, AR 72712-4559
Phone (479) 899-5316

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101028000617 AR Practitioner - Chiropractic 4284730128 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

501 W Emma Ave
Suite a
Springdale, AR 72764-4412
Phone (479) 365-2488

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1697ARMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Watermark Chiropractic Chiropractor CurrentSince Jan 1, 2009 Accepting new patients
Kent Moore Chiropractic, P.a. Chiropractor PastSince Oct 21, 2012 Accepting new patients
Devin Moore Chiropractic PLLC Chiropractor PastSince Aug 5, 2012 Accepting new patients

Locations

501 W Emma Ave
Ste A
Springdale, AR 72764
Phone (479) 365-2488

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445212800000",
    "number": "1376698662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 NW 7TH ST",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727124559",
            "telephone_number": "479-899-5316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W EMMA AVE",
            "address_2": "STE A",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727644417",
            "telephone_number": "479-365-2488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YU",
        "first_name": "ALEXANDER",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2015-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "1697",
            "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 Oct 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.