114 N Pittman LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

114 N PITTMAN LLC

Doing business as

Prairie Grove Chiropractic

Practice address

114 N Pittman St
Prairie Grove, AR 72753-2934

Phone

(479) 846-4110

NPI assigned

May 13, 2024

Last updated

May 13, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Alec Spencer, DCNPI 1356887764

Title

Owner

Phone

(630) 699-6211

Specialties & licenses 1

Addresses

Other names 1

• Prairie Grove Chiropractic Doing business as

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.

• Alec Spencer, D.C.

  • Chiropractor
  • Fayetteville, AR
  • NPI 1356887764
  NPD Authorized official

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

{
    "created_epoch": "1715558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715558400000",
    "number": "1407604572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14971 COVE CRK N",
            "city": "PRAIRIE GROVE",
            "state": "AR",
            "postal_code": "727538821",
            "telephone_number": "630-699-6211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 N PITTMAN ST",
            "city": "PRAIRIE GROVE",
            "state": "AR",
            "postal_code": "727532934",
            "telephone_number": "479-846-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "114 N PITTMAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-13",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "ALEC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-699-6211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prairie Grove Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Prairie Grove, AR
• Providers in Prairie Grove, AR by specialty
• Chiropractor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; 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.