Active NPI
Catherine Ann Bourgeois, DR
- Chiropractor
- Bentonville, AR
National Provider Identifier
1417164310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1350
- Practice address
- 1300 SE 14TH St # 2
Bentonville, AR 72712-6814 - Phone
- (479) 271-6992
- Fax
- (479) 271-6993
- NPI assigned
- May 17, 2007
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1350 | LA | Primary |
Addresses
Primary practice location
1300 SE 14TH St # 2
Bentonville, AR 72712-6814
Mailing address
1300 SE 14TH Street #2
Bentonville, AR 72712
Phone (479) 271-6992
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1350 | LA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smith Family Chiropractic & Acupuncture, Inc | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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
- Bentonville, AR
- NPI 1740268267
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417164310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 SE 14TH STREET #2",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "72712",
"telephone_number": "479-271-6992",
"fax_number": "479-271-6993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 SE 14TH ST # 2",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727126814",
"telephone_number": "479-271-6992",
"fax_number": "479-271-6993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOURGEOIS",
"first_name": "CATHERINE",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "DR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "LA",
"license": "1350",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bentonville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.