Anthony Iwan Doncheff, D.C.
Individual provider Active NPI Orthopedic Chiropractor · Ash Flat, AR
NPI 1497740179 · NPPES record last updated Sep 14, 2011
Key facts
- NPI
- 1497740179
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopedic Chiropractor 111NX0800X
- License
- 1066 (AR)
- Practice address
- 75 Highway 62 412
Suite G
Ash Flat, AR 72513-9594 - Phone
- (870) 994-2888
- NPI assigned
- Sep 19, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
75 Hwy 62 412
G
Ash Flat, AR 72513-9594
75 Hwy 62 412
Suite G
Ash Flat, AR 72513-9629
Phone (870) 994-2888
75G Hwy 62 412
Ash Flat, AR 72513-9629
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080429000982 | AR | Practitioner - Chiropractic | 1759460991 | Practice locations: Ash Flat, AR |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1066 | AR | MD | Orthopedic Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doncheff Chiropractic Clinic | Orthopedic | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Chiropractor | 111NX0800X | 1066 | AR | Yes |
Addresses
Primary practice location
75 Highway 62 412
Suite G
Ash Flat, AR 72513-9594
Mailing address
75 Highway 62 412
Suite G
Ash Flat, AR 72513-9594
Phone (870) 994-2888
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 180489718 | Medicaid | AR | |
| 59009 | Other | AR | MEDICARE ID |
Other providers in Ash Flat, AR
- Harlee Mae Deloach
- Kayla Deloach
- Jeremiah Daniel Dillehay
- Diversicare Leasing Corp.
- Doncheff Chiropractic Clinic
- Shasta Dorris
- Sheila Doughtery
- Catherine Duncan
- Pamala Duncan
- Amanda Dunn
All providers in Ash Flat, AR · Orthopedic Chiropractor in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 14, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.