Individual provider Active NPI

Johnny Victor Elmurr II, DC

  • Chiropractor
  • Lowell, AR
National Provider Identifier
1457098089
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12399 Issued in AR
Practice address
113 Parkwood St Ste D
Lowell, AR 72745-8811
Phone
(740) 971-1050
NPI assigned
May 16, 2022
Last updated
May 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 9146 AZ
Chiropractor 111N00000X 12399 AR Primary

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

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

LicenseStateTypeSpecialty
12399ARMDChiropractor
9146AZMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1652659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1457098089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 N LITCHFIELD RD APT 1134",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 PARKWOOD ST STE D",
            "city": "LOWELL",
            "state": "AR",
            "postal_code": "727458811",
            "telephone_number": "740-971-1050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 S Walton Blvd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Bentonville",
            "state": "AR",
            "postal_code": "727126238",
            "country_code": "US",
            "telephone_number": "479-294-2117",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7253 W Sunset Ave Ste I",
            "address_purpose": "LOCATION",
            "city": "Tontitown",
            "state": "AR",
            "postal_code": "727620991",
            "country_code": "US",
            "telephone_number": "623-244-7531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELMURR",
        "first_name": "JOHNNY",
        "middle_name": "VICTOR",
        "name_suffix": "II",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-16",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "9146",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "12399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; 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.