Organization Active NPI

Perfect Circle Chiropractic, LLC

  • Chiropractor
  • Springdale, AR
National Provider Identifier
1447751490
Registry record updated Feb 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
16141 Issued in AR
Legal business name
PERFECT CIRCLE CHIROPRACTIC, LLC
Practice address
1391 Plaza PL Ste B
Springdale, AR 72764-5225
Phone
(479) 715-3265
NPI assigned
Feb 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2018

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

Authorized official

Name
Dr. Ashley Wilcoxson, DCNPI 1386068443
Title
Chiropractor/Owner
Phone
(479) 715-3265

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 16141 AR Primary

Addresses

Primary practice location

1391 Plaza PL Ste B
Springdale, AR 72764-5225

Mailing address

1391 Plaza PL Ste B
Springdale, AR 72764-5225
Phone (479) 715-3265

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180514000428 AR Part B Supplier - Clinic/Group Practice 1658635974 Receives reassigned benefits from 2 practitioners
Practice locations: Springdale, AR

National Provider Directory

National Provider Directory

Locations

1105 Shipley St
Springdale, AR 72764
Phone (479) 715-3265

1391 Plaza Pl
Ste B
Springdale, AR 72764
Phone (479) 715-3265

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1519603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519776000000",
    "number": "1447751490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1391 PLAZA PL STE B",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727645225",
            "telephone_number": "479-715-3265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1391 PLAZA PL STE B",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727645225",
            "telephone_number": "479-715-3265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFECT CIRCLE CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-26",
        "last_updated": "2018-02-28",
        "status": "A",
        "authorized_official_last_name": "WILCOXSON",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "479-715-3265",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "16141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2018; 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.