Active NPI
Jordana Ellen Amelia Beutelschies, DC
- Chiropractor
- Fort Smith, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 16071
- Practice address
- 5600 Euper LN
Fort Smith, AR 72903-3236 - Phone
- (479) 484-7200
- NPI assigned
- Jun 16, 2014
- Last updated
- Mar 10, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 16071 | AR | Primary |
| Chiropractor | 111N00000X | 4159 | OK |
Addresses
Primary practice location
5600 Euper LN
Fort Smith, AR 72903-3236
Mailing address
4015 N Rudy Rd
Van Buren, AR 72956-9109
Phone (479) 414-4336
Other practice location 1
4015 N Rudy Rd
Van Buren, AR 72956
Phone (479) 414-4336
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
139 Northridge Dr E
2 JB Family and Animal Chiropractic
Van Buren, AR 72956-5184
Phone (479) 414-4336
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4159 | OK | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JB Wellness PA | Chiropractor | Current | Accepting new patients |
| Seubold Chiropractic Clinic | Chiropractor | Past | Accepting new patients |
Locations
139 Northridge Dr E
Ste 2
Van Buren, AR 72956
Phone (479) 414-4336
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Fort Smith, AR
- NPI 1144388323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615334400000",
"number": "1407260631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4015 N RUDY RD",
"city": "VAN BUREN",
"state": "AR",
"postal_code": "729569109",
"telephone_number": "479-414-4336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5600 EUPER LN",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729033236",
"telephone_number": "479-484-7200"
}
],
"practiceLocations": [
{
"address_1": "4015 N Rudy Rd",
"address_purpose": "LOCATION",
"city": "Van Buren",
"state": "AR",
"postal_code": "72956",
"country_code": "US",
"telephone_number": "479-414-4336",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEUTELSCHIES",
"first_name": "JORDANA",
"middle_name": "ELLEN AMELIA",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-16",
"last_updated": "2021-03-10",
"certification_date": "2021-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AR",
"license": "16071",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OK",
"license": "4159",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Smith, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; 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.