Little Rock Chiropractic Clinic, P.a.

Primary specialty

Orthopedic ChiropractorTaxonomy code 111NX0800X

License

887 Issued in AR

Legal business name

LITTLE ROCK CHIROPRACTIC CLINIC, P.A.

Practice address

1100 W 3Rd St
Little Rock, AR 72201-2008

Phone

(501) 371-0022

Fax

(501) 371-0810

NPI assigned

Mar 21, 2006

Last updated

Aug 9, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Richard L Riley, D.C.NPI 1003826850

Title

Owner/Physician

Phone

(501) 371-0022

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard Riley, D.C.

  • Orthopedic Chiropractor
  • Little Rock, AR
  • NPI 1003826850
  Medicare reassignment NPD Authorized official
• Joshua Witter, DC

  • Orthopedic Chiropractor
  • Little Rock, AR
  • NPI 1396249603
  Medicare reassignment NPD

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281312000000",
    "number": "1477512218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 W 3RD ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722012008",
            "telephone_number": "501-371-0022",
            "fax_number": "501-371-0810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 W 3RD ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722012008",
            "telephone_number": "501-371-0022",
            "fax_number": "501-371-0810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE ROCK CHIROPRACTIC CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-21",
        "last_updated": "2010-08-09",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "501-371-0022",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Orthopedic",
            "state": "AR",
            "license": "887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "59798",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE",
            "identifier": "14434000040",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEEALTH ADVANTAGE",
            "identifier": "59798",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST SOURCE",
            "identifier": "59798",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE ADVANTAGE",
            "identifier": "59798",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "350022129",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Orthopedic Chiropractor in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Orthopedic Chiropractor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2010; 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.