NPIMap

Organization Active NPI

Balkman Chiropractic Clinic

  • Chiropractor
  • Fort Smith, AR
National Provider Identifier
1497763791
Registry record updated Jun 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
AR795 Issued in AR
Legal business name
BALKMAN CHIROPRACTIC CLINIC
Practice address
3444 Old Greenwood Rd Ste a
Fort Smith, AR 72903-5462
Phone
(479) 646-3984
Fax
(479) 646-2129
NPI assigned
Aug 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2008

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

Authorized official

Name
Dr. Kyle D Jarnagin, D.C.NPI 1487654901
Title
Owner/President
Phone
(479) 646-3984

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 AR795 AR Primary

Addresses

Primary practice location

3444 Old Greenwood Rd Ste a
Fort Smith, AR 72903-5462

Mailing address

3444 Old Greenwood Rd Ste a
Fort Smith, AR 72903-5462
Phone (479) 646-3984

Other identifiers 1

IdentifierTypeStateIssuer
11464121OtherARCAQH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080529000934 AR Part B Supplier - Clinic/Group Practice 4688744857 Receives reassigned benefits from 3 practitioners
Practice locations: Fort Smith, AR

National Provider Directory

National Provider Directory

Locations

3444 Old Greenwood Rd
Fort Smith, AR 72903
Phone (479) 646-3984

Practitioners & affiliated clinicians

Practitioners 4

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": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212710400000",
    "number": "1497763791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3444 OLD GREENWOOD RD STE A",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729035462",
            "telephone_number": "479-646-3984",
            "fax_number": "479-646-2129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3444 OLD GREENWOOD RD STE A",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729035462",
            "telephone_number": "479-646-3984",
            "fax_number": "479-646-2129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALKMAN CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2008-06-06",
        "status": "A",
        "authorized_official_last_name": "JARNAGIN",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "479-646-3984",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "AR795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11464121",
            "state": "AR"
        }
    ],
    "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 Jun 6, 2008; 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.