Individual provider Active NPI

Gary Shawn Fletcher, D.C.

  • Chiropractor
  • Mountain View, AR
National Provider Identifier
1467600759
Registry record updated Aug 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1724 Issued in AR
Practice address
801 W Main St.
Mountain View, AR 72560
Phone
(870) 269-2225
NPI assigned
Aug 29, 2008
Last updated
Aug 29, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1724 AR Primary

Addresses

Primary practice location

801 W Main St.
Mountain View, AR 72560

Mailing address

PO Box 11
Mountain View, AR 72560-0011
Phone (870) 269-2225

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081110000049 AR Practitioner - Chiropractic 6406915214 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fletcher Chiropractic, LLCGroup PAC ID 5496814204, 3 clinicians

Practice addresses (Care Compare)

801 W Main St
Mountain View, AR 72560-8832
Phone (870) 269-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1724ARMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Fletcher Chiro Health LLC Chiropractor Current Accepting new patients
Fletcher Chiropractic, LLC Chiropractor CurrentSince Nov 3, 2008 Accepting new patients
Fletch Wellness LLC Chiropractor CurrentSince Jan 27, 2026 Accepting new patients
Simmons Chiropractic Clinic, P. a. Chiropractor PastSince Oct 9, 2009 Accepting new patients
Lakeside Chiropractic, PLLC PastSince Jan 1, 2017 Accepting new patients

Locations

25255 Highway 5
Ste K
Lonsdale, AR 72087
Phone (501) 476-7171

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1219968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219968000000",
    "number": "1467600759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11",
            "city": "MOUNTAIN VIEW",
            "state": "AR",
            "postal_code": "725600011",
            "telephone_number": "870-269-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W MAIN ST.",
            "city": "MOUNTAIN VIEW",
            "state": "AR",
            "postal_code": "72560",
            "telephone_number": "870-269-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "GARY",
        "middle_name": "SHAWN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-29",
        "last_updated": "2008-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "1724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2008; 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.