Organization Active NPI

Santos Chiropractic PLLC

  • Chiropractor
  • Bentonville, AR
National Provider Identifier
1487128955
Registry record updated Jan 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SANTOS CHIROPRACTIC PLLC
Practice address
1706 SE Walton Blvd Ste 6
Bentonville, AR 72712-3201
Phone
(479) 464-4413
Fax
(479) 464-4430
NPI assigned
Jan 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2019

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

Authorized official

Name
Dr. Eric Brian Santos, DC
Title
Owner
Phone
(479) 464-4413

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1706 SE Walton Blvd Ste 6
Bentonville, AR 72712-3201

Mailing address

1706 SE Walton Blvd Ste 6
Bentonville, AR 72712-3201
Phone (479) 464-4413

National Provider Directory

National Provider Directory

Locations

1706 SE Walton Blvd
Ste 6
Bentonville, AR 72712
Phone (479) 464-4413

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1547683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547683200000",
    "number": "1487128955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 SE WALTON BLVD STE 6",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727123201",
            "telephone_number": "479-464-4413",
            "fax_number": "479-464-4430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 SE WALTON BLVD STE 6",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727123201",
            "telephone_number": "479-464-4413",
            "fax_number": "479-464-4430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTOS CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-17",
        "last_updated": "2019-01-17",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-464-4413",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bentonville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.