Individual provider Active NPI

Joshua Witter, DC

  • Orthopedic Chiropractor
  • Little Rock, AR
National Provider Identifier
1396249603
Registry record updated Mar 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
15988 Issued in AR
Practice address
1100 W 3Rd St
Little Rock, AR 72201-2041
Phone
(501) 371-0022
Fax
(501) 371-0810
NPI assigned
Mar 21, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Chiropractor 111NX0800X 15988 AR Primary

Addresses

Primary practice location

1100 W 3Rd St
Little Rock, AR 72201-2041

Mailing address

19 Elmwood Cir
Pine Bluff, AR 71603-7139
Phone (870) 540-7170

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180510000634 AR Practitioner - Chiropractic 9931463353 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

650 S Shackleford Rd
Suite 400 Z
Little Rock, AR 72211-3522
Phone (501) 291-1021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Little Rock Chiropractic Clinic, P.a. Orthopedic CurrentSince Apr 4, 2018 Accepting new patients
CHI Rho Corrective Spinal Care and Wellness CurrentSince May 1, 2025 Accepting new patients

Locations

1100 W 3rd St
Little Rock, AR 72201
Phone (501) 371-0022

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1521590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521590400000",
    "number": "1396249603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 ELMWOOD CIR",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716037139",
            "telephone_number": "870-540-7170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 W 3RD ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722012041",
            "telephone_number": "501-371-0022",
            "fax_number": "501-371-0810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTER",
        "first_name": "JOSHUA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-21",
        "last_updated": "2018-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "AR",
            "license": "15988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.