Watermark Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1697 Issued in AR

Legal business name

WATERMARK CHIROPRACTIC

Practice address

501 W Emma Ave Ste a
Springdale, AR 72764-4412

Phone

(479) 365-2488

Fax

(479) 365-2489

NPI assigned

Aug 24, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Alexander S Yu, D.C.NPI 1376698662

Title

Member

Phone

(479) 696-9936

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 1

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.

• Alexander S Yu, D.C.

  • Chiropractor
  • Springdale, AR
  • NPI 1376698662
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1282608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282608000000",
    "number": "1497061717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W EMMA AVE STE A",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727644412",
            "telephone_number": "479-365-2488",
            "fax_number": "479-365-2489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W EMMA AVE STE A",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727644412",
            "telephone_number": "479-365-2488",
            "fax_number": "479-365-2489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERMARK CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-24",
        "last_updated": "2010-08-24",
        "status": "A",
        "authorized_official_last_name": "YU",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "479-696-9936",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "1697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1376698662",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Washington Regional Medical System (Washington Regional Family Clinic - East Springdale)
• Washington Regional Medical System (Renal Specialists of Northwest Arkansas)
• Washington Regional Medical System (Harber Internal Medicine - Washington Regional)
• Washington Regional Medicorp, Inc. (PACE of the Ozarks)
• Lisa Renee Waterman, D.O.
• Waterstone Counseling Center PLLC
• Carly Watkins, COTA/L
• Laura Watkins
• Amy Michelle Watson, MHPP
• Kevin Wayne Watson, MHPP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.