Individual provider Active NPI

Katinka Van Der Merwe, D.C

  • Chiropractor
  • Fayetteville, AR
National Provider Identifier
1457570558
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1540 Issued in AR
Practice address
124 W Sunbridge Dr
Suite 7
Fayetteville, AR 72703-1869
Phone
(479) 582-5900
Fax
(479) 582-0569
NPI assigned
Apr 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1540 AR Primary

Addresses

Primary practice location

124 W Sunbridge Dr
Suite 7
Fayetteville, AR 72703-1869

Mailing address

22 W Colt Square Dr
Fayetteville, AR 72703-2813
Phone (479) 582-5900

Other names 1

  • Dr. Katinka Connors Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080304000248 AR Practitioner - Chiropractic 8224113014 Reassigns benefits to 1 organization
Practice locations: Fayetteville, AR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sana Wound Care LLC CurrentSince Jul 22, 2024 Accepting new patients
Sana Wound Care Oklahoma, LLC PastSince Mar 15, 2025 Accepting new patients

Locations

27 W Township St
Fayetteville, AR 72703
Phone (479) 480-6677

22 W Colt Square Dr
Fayetteville, AR 72703
Phone (479) 480-6677

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1457570558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 W COLT SQUARE DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727032813",
            "telephone_number": "479-582-5900",
            "fax_number": "479-582-0569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 W SUNBRIDGE DR",
            "address_2": "SUITE 7",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727031869",
            "telephone_number": "479-582-5900",
            "fax_number": "479-582-0569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DER MERWE",
        "first_name": "KATINKA",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "1540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATINKA",
            "last_name": "CONNORS",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; 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.