Organization Active NPI

Seubold Chiropractic Clinic PLLC

  • Chiropractor
  • Fort Smith, AR
National Provider Identifier
1487901120
Registry record updated Aug 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SEUBOLD CHIROPRACTIC CLINIC PLLC
Practice address
5600 Euper LN
Fort Smith, AR 72903-3236
Phone
(479) 484-7200
Fax
(479) 484-7991
NPI assigned
Aug 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2012

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

Authorized official

Name
Dr. Joshua Donald Seubold, D.C.NPI 1508105974
Title
Owner
Phone
(479) 484-7200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

5600 Euper LN
Fort Smith, AR 72903-3236

Mailing address

5600 Euper LN
Fort Smith, AR 72903-3236
Phone (479) 484-7200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121112000596 AR Part B Supplier - Clinic/Group Practice 7911158308 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Smith, AR

National Provider Directory

National Provider Directory

Locations

5600 Euper Ln
Fort Smith, AR 72903
Phone (479) 484-7200

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": "1344816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344816000000",
    "number": "1487901120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 EUPER LN",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729033236",
            "telephone_number": "479-484-7200",
            "fax_number": "479-484-7991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 EUPER LN",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729033236",
            "telephone_number": "479-484-7200",
            "fax_number": "479-484-7991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEUBOLD CHIROPRACTIC CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-13",
        "last_updated": "2012-08-13",
        "status": "A",
        "authorized_official_last_name": "SEUBOLD",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-484-7200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; 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.