Organization Active NPI

Core Chiropractic and Wellness LLC

  • Chiropractor
  • Little Rock, AR
National Provider Identifier
1396384962
Registry record updated Dec 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CORE CHIROPRACTIC AND WELLNESS LLC
Practice address
11525 Cantrell Rd Ste 301
Little Rock, AR 72212-1713
Phone
(501) 246-4485
NPI assigned
Dec 31, 2019
Last updated
Dec 31, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2019

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

Authorized official

Name
Dr. Justin Collier, DCNPI 1912436825
Title
Owner/ Chiropractor
Phone
(501) 246-4485

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 Primary

Addresses

Primary practice location

11525 Cantrell Rd Ste 301
Little Rock, AR 72212-1713

Mailing address

11525 Cantrell Rd Ste 301
Little Rock, AR 72212-1713
Phone (501) 246-4485

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200116000239 AR Part B Supplier - Clinic/Group Practice 5890120075 Receives reassigned benefits from 1 practitioner
Practice locations: Little Rock, AR

National Provider Directory

National Provider Directory

Locations

11525 Cantrell Rd
Ste 301
Little Rock, AR 72212
Phone (214) 775-0353

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": "1577750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577750400000",
    "number": "1396384962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11525 CANTRELL RD STE 301",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722121713",
            "telephone_number": "501-246-4485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11525 CANTRELL RD STE 301",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722121713",
            "telephone_number": "501-246-4485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE CHIROPRACTIC AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-31",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A",
        "authorized_official_last_name": "COLLIER",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER/ CHIROPRACTOR",
        "authorized_official_telephone_number": "501-246-4485",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "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 Dec 31, 2019; 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.