Ivory Chenteyl, D.C.
Individual provider Active NPI Chiropractor · Story, AR
NPI 1457779571 · NPPES record last updated Apr 4, 2014
Key facts
- NPI
- 1457779571
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 16011 (AR)
- Practice address
- 220 Markerville Rd
Story, AR 71970-8094 - Phone
- (870) 867-5199
- NPI assigned
- Apr 4, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 16011 | AR | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 16011 | AR | Yes |
Addresses
Primary practice location
220 Markerville Rd
Story, AR 71970-8094
Mailing address
220 Markerville Rd
Story, AR 71970-8094
Phone (870) 867-5199
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 4, 2014. 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.