Organization Active NPI

Tree of Life Chiropractic Inc

  • Chiropractor
  • Eureka Springs, AR
National Provider Identifier
1386676781
Registry record updated Jun 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1205 Issued in AR
Legal business name
TREE OF LIFE CHIROPRACTIC INC
Practice address
174 Huntsville Road
Eureka Springs, AR 72632
Phone
(479) 253-9117
NPI assigned
Jul 7, 2006
Last updated
Jun 19, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2013

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

Authorized official

Name
Jan Marie Quint, DCNPI 1609932656
Title
Chiropractic Physician
Phone
(479) 253-9117

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
Chiropractor 111N00000X 1205 AR Primary

Addresses

Primary practice location

174 Huntsville Road
Eureka Springs, AR 72632

Mailing address

174 Huntsville Road
Eureka Springs, AR 72632
Phone (479) 253-9117

Other identifiers 2

IdentifierTypeStateIssuer
350050642OtherARRAILROAD MEDICARE PIN
59005OtherARBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

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": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371600000000",
    "number": "1386676781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 HUNTSVILLE ROAD",
            "city": "EUREKA SPRINGS",
            "state": "AR",
            "postal_code": "72632",
            "telephone_number": "479-253-9117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 HUNTSVILLE ROAD",
            "city": "EUREKA SPRINGS",
            "state": "AR",
            "postal_code": "72632",
            "telephone_number": "479-253-9117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREE OF LIFE CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2013-06-19",
        "status": "A",
        "authorized_official_last_name": "QUINT",
        "authorized_official_first_name": "JAN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "479-253-9117",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "350050642",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "59005",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; 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.