Organization Active NPI

Curtis Chiropractic and Wellness Center

  • Chiropractor
  • Jonesboro, AR
National Provider Identifier
1376732735
Registry record updated Apr 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1631 Issued in AR
Legal business name
CURTIS CHIROPRACTIC AND WELLNESS CENTER
Practice address
3305 E. Highland Dr.
Suite a
Jonesboro, AR 72401
Phone
(870) 934-9900
NPI assigned
Oct 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2012

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

Authorized official

Name
Dr. Christopher Lynn Curtis, D.C.NPI 1144285487
Title
Doctor of Chiropractic
Phone
(870) 934-9900

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 1631 AR Primary

Addresses

Primary practice location

3305 E. Highland Dr.
Suite a
Jonesboro, AR 72401

Mailing address

3305 E. Highland Dr.
Suite a
Jonesboro, AR 72401
Phone (870) 934-9900

Other identifiers 1

IdentifierTypeStateIssuer
159304718MedicaidAR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120330000019 AR Part B Supplier - Clinic/Group Practice 3678733540 Receives reassigned benefits from 2 practitioners
Practice locations: Jonesboro, AR

National Provider Directory

National Provider Directory

Locations

3305 E Highland Dr
Jonesboro, AR 72401

3305 E Highland Dr
Ste A
Jonesboro, AR 72401
Phone (870) 934-9900

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": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333411200000",
    "number": "1376732735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3305 E. HIGHLAND DR.",
            "address_2": "SUITE A",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "72401",
            "telephone_number": "870-934-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 E. HIGHLAND DR.",
            "address_2": "SUITE A",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "72401",
            "telephone_number": "870-934-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CURTIS CHIROPRACTIC AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2012-04-03",
        "status": "A",
        "authorized_official_last_name": "CURTIS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "870-934-9900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "1631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159304718",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; 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.