Individual provider Active NPI

Gabriel Carroll, D.C.

  • Chiropractor
  • Fayetteville, AR
National Provider Identifier
1518320803
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
16133 Issued in AR
Practice address
1271 N Steamboat Dr Ste 1
Fayetteville, AR 72704-6263
Phone
(479) 435-6834
NPI assigned
Apr 4, 2016
Last updated
Feb 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 16133 AR Primary

Addresses

Primary practice location

1271 N Steamboat Dr Ste 1
Fayetteville, AR 72704-6263

Mailing address

1271 N Steamboat Dr
Fayetteville, AR 72704-6079
Phone (479) 435-6834

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160510001308 AR Practitioner - Chiropractic 1759670094 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16133ARMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Kmgo Enterprises PLLC Chiropractor CurrentSince Jan 8, 2025 Accepting new patients
Jim Schilling Chiropractic P.a. Chiropractor CurrentSince Jan 8, 2017 Accepting new patients
Balkman Chiropractic Clinic Chiropractor CurrentSince Apr 12, 2016 Accepting new patients
Aell Spencer Chiropractic Inc Chiropractor CurrentSince May 19, 2024 Accepting new patients
Jarnagin Property & Investments Chiropractor Past Accepting new patients

Locations

1271 N Steamboat Dr
Ste 1
Fayetteville, AR 72704
Phone (479) 435-6834

1150 S Waldron Rd
Fort Smith, AR 72903
Phone (479) 434-5500

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

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1518320803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1271 N STEAMBOAT DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727046079",
            "telephone_number": "479-435-6834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1271 N STEAMBOAT DR STE 1",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727046263",
            "telephone_number": "479-435-6834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "GABRIEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-04",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "16133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.