Organization Active NPI

Brown Family Chiropractic, PA

  • Chiropractor
  • Conway, AR
National Provider Identifier
1386947380
Registry record updated Feb 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1481 Issued in AR
Legal business name
BROWN FAMILY CHIROPRACTIC, PA
Practice address
440 Denison St
Conway, AR 72034-6128
Phone
(501) 336-0606
NPI assigned
Dec 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2012

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

Authorized official

Name
Scott Ray Brown, D.C.NPI 1326190059
Title
Owner
Phone
(501) 336-0606

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 1481 AR Primary

Addresses

Primary practice location

440 Denison St
Conway, AR 72034-6128

Mailing address

440 Denison St
Conway, AR 72034-6128
Phone (501) 336-0606

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111026000558 AR Part B Supplier - Clinic/Group Practice 3375716962 Receives reassigned benefits from 1 practitioner
Practice locations: Conway, AR

National Provider Directory

National Provider Directory

Locations

440 Denison St
Conway, AR 72034
Phone (501) 336-0606

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": "1292198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328486400000",
    "number": "1386947380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 DENISON ST",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720346128",
            "telephone_number": "501-336-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 DENISON ST",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720346128",
            "telephone_number": "501-336-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWN FAMILY CHIROPRACTIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-13",
        "last_updated": "2012-02-06",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-336-0606",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "1481",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 6, 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.