Individual provider Active NPI

Clint Edward Freeman, DC

  • Chiropractor
  • Mountain Home, AR
National Provider Identifier
1447438247
Registry record updated May 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1725 Issued in AR
Practice address
707 N Cardinal Dr
Suite 7
Mountain Home, AR 72653-3274
Phone
(870) 424-3352
Fax
(870) 424-3702
NPI assigned
Feb 4, 2008
Last updated
May 18, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1725 AR Primary

Addresses

Primary practice location

707 N Cardinal Dr
Suite 7
Mountain Home, AR 72653-3274

Mailing address

707 N Cardinal Dr
Suite 7
Mountain Home, AR 72653-3253
Phone (870) 424-3352

Other identifiers 1

IdentifierTypeStateIssuer
1725OtherARSTATE LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080620000400 AR Practitioner - Chiropractic 5092886911 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thrive Point Chiropractic, PLLCGroup PAC ID 5092189464, 2 clinicians

Practice addresses (Care Compare)

2013 E Main St
Mountain View, AR 72560-6173
Phone (870) 615-0150

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
1725ARMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Hunter V Holt PLLC Chiropractor PastSince May 1, 2022 Accepting new patients
North Arkansas Regenerative Medicine LTD. PastSince Oct 26, 2020 Accepting new patients
Dr Jeffrey W Holt Chiropractic PA Chiropractor PastSince Jan 23, 2008 Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337299200000",
    "number": "1447438247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 N CARDINAL DR",
            "address_2": "SUITE 7",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726533253",
            "telephone_number": "870-424-3352",
            "fax_number": "870-424-3702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 N CARDINAL DR",
            "address_2": "SUITE 7",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726533274",
            "telephone_number": "870-424-3352",
            "fax_number": "870-424-3702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "CLINT",
        "middle_name": "EDWARD",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-04",
        "last_updated": "2012-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "1725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "1725",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Home, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2012; 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.