Johnny Victor Elmurr II, DC
Individual provider Active NPI Chiropractor · Lowell, AR
NPI 1457098089 · NPPES record last updated May 8, 2025
Key facts
- NPI
- 1457098089
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 12399 (AR)
- Practice address
- 113 Parkwood St Ste D
Lowell, AR 72745-8811 - Phone
- (740) 971-1050
- NPI assigned
- May 16, 2022
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12399 | AR | MD | Chiropractor |
| 9146 | AZ | MD | Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 9146 | AZ | |
| Chiropractor | 111N00000X | 12399 | AR | Yes |
Addresses
Primary practice location
113 Parkwood St Ste D
Lowell, AR 72745-8811
Mailing address
1751 N Litchfield Rd Apt 1134
Goodyear, AZ 85395-2263
Other practice location 1
1101 S Walton Blvd Ste 3
Bentonville, AR 72712-6238
Phone (479) 294-2117
Other practice location 2
7253 W Sunset Ave Ste I
Tontitown, AR 72762-0991
Phone (623) 244-7531
Other providers in Lowell, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 8, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.