Eggleston Chiropractic & Rehab, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1418 Issued in AR

Legal business name

EGGLESTON CHIROPRACTIC & REHAB, INC.

Practice address

3000 N Market Ave Ste C
Fayetteville, AR 72703-3507

Phone

(479) 575-0105

Fax

(479) 575-0205

NPI assigned

May 26, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Michael Lee Eggleston, DCNPI 1255326724

Title

Owner

Phone

(479) 575-0105

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.

• Michael Lee Eggleston, DC

  • Chiropractor
  • Fayetteville, AR
  • NPI 1255326724
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1243296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243296000000",
    "number": "1568697290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 N MARKET AVE STE C",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727033507",
            "telephone_number": "479-575-0105",
            "fax_number": "479-575-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 N MARKET AVE STE C",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727033507",
            "telephone_number": "479-575-0105",
            "fax_number": "479-575-0205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EGGLESTON CHIROPRACTIC & REHAB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-26",
        "last_updated": "2009-05-26",
        "status": "A",
        "authorized_official_last_name": "EGGLESTON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-575-0105",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "1418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130137718",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jesse Edwards
• Kelly Nicole Edwards, PT
• Lauren Danielle Edwards
• Madison Nicole Edwards
• Mara Elizabeth Egeler
• Michael Lee Eggleston, DC
• Carol Egolf
• Gregory A. Ehrler, PA-C
• Jennifer Narrow Eidson, LCSW
• Holly Eiland

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2009; 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.