Luke Oldham, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

16311 Issued in AR

Practice address

3105 NE 11TH St Ste 3
Bentonville, AR 72712-9127

Phone

(479) 254-1177

Fax

(479) 254-1193

NPI assigned

Nov 19, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 2021

Medicare assignment

May accept Medicare assignment

Group practices

Munson ChiropracticGroup PAC ID 2860388824, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Munson Chiropractic

  • Chiropractor
  • Bentonville, AR
  • NPI 1518160076
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1637280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637280000000",
    "number": "1467119958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 NE 11TH ST STE 3",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727129127",
            "telephone_number": "479-254-1177",
            "fax_number": "479-254-1193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 NE 11TH ST STE 3",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727129127",
            "telephone_number": "479-254-1177",
            "fax_number": "479-254-1193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLDHAM",
        "first_name": "LUKE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-19",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "16311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oark Care of Ar, LLC
• Obhg Arkansas West PA
• Sharon A Odom, LCSW
• Veronica L Odum, MHPP
• Lynn Odya
• William D Oldham, LPC, MDIV
• Whitney Lee Oliver, PA-C
• Erica M Olson, LPC
• Optimal Pain and Wellness
• Marlen Ortiz-Cervantes, APRN

• Chiropractor in Bentonville, AR
• Providers in Bentonville, AR by specialty
• Chiropractor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.