Bailey Health Center, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

15,726 Issued in AR

Legal business name

BAILEY HEALTH CENTER, LLC

Doing business as

Health Builders

Practice address

125 Main St SE
Suite a
Gravette, AR 72736-8753

Phone

(479) 787-7555

NPI assigned

Apr 25, 2011

Last updated

Oct 14, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ty D Russell, DCNPI 1487961322

Title

Owner

Phone

(479) 787-7555

Specialties & licenses 1

Addresses

Other names 1

• Health Builders Doing business as

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 2

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.

• Ty D Russell, D.C.

  • Chiropractor
  • Gravette, AR
  • NPI 1487961322
  Medicare reassignment NPD Authorized official
• Eric Shawn Bailey, DC

  • Chiropractor
  • Gravette, AR
  • NPI 1649266305
  NPD (past)

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

{
    "created_epoch": "1303689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318550400000",
    "number": "1376834382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 MAIN ST SE",
            "address_2": "SUITE A",
            "city": "GRAVETTE",
            "state": "AR",
            "postal_code": "727368753",
            "telephone_number": "479-787-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 MAIN ST SE",
            "address_2": "SUITE A",
            "city": "GRAVETTE",
            "state": "AR",
            "postal_code": "727368753",
            "telephone_number": "479-787-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAILEY HEALTH CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-25",
        "last_updated": "2011-10-14",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "TY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-787-7555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "15,726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Builders",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adventageous Care
• Austin Drugs Inc (Austin Drugs)
• Eric Shawn Bailey, DC
• Pennie Berry, MS, LPC, LMFT
• Bailey Boatright, MS, CCC-SLP
• Karen Canulla, M.D.
• Zia Chang

• Chiropractor in Gravette, AR
• Providers in Gravette, AR by specialty
• Chiropractor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; 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.