NPIMap

Organization Active NPI

Conway Chiropractic Center PA

  • Chiropractor
  • Conway, AR
National Provider Identifier
1386916773
Registry record updated Feb 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1278 Issued in AR
Legal business name
CONWAY CHIROPRACTIC CENTER PA
Practice address
965 Carson CV
Suite a
Conway, AR 72034-4842
Phone
(501) 336-8181
Fax
(501) 336-8211
NPI assigned
Feb 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2012

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

Authorized official

Name
Thomas Steven Cooper, DCNPI 1487615373
Title
Owner
Phone
(501) 336-8181

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 1278 AR Primary

Addresses

Primary practice location

965 Carson CV
Suite a
Conway, AR 72034-4842

Mailing address

965 Carson CV
Suite a
Conway, AR 72034-4842
Phone (501) 336-8181

Other identifiers 1

IdentifierTypeStateIssuer
5G953OtherARPTAN

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.

NPI Registry JSON

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

{
    "created_epoch": "1328054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328054400000",
    "number": "1386916773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 CARSON CV",
            "address_2": "SUITE A",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720344842",
            "telephone_number": "501-336-8181",
            "fax_number": "501-336-8211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 CARSON CV",
            "address_2": "SUITE A",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720344842",
            "telephone_number": "501-336-8181",
            "fax_number": "501-336-8211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONWAY CHIROPRACTIC CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-01",
        "last_updated": "2012-02-01",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-336-8181",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "1278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "5G953",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; 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.