Individual provider Active NPI

Benjamin Arn Ozanne, D.C.

  • Chiropractor
  • Fayetteville, AR
National Provider Identifier
1588934244
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
15927 Issued in AR
Practice address
1020 E Harold St
Fayetteville, AR 72703-3866
Phone
(479) 439-8121
Fax
(479) 397-3194
NPI assigned
Jan 11, 2012
Last updated
Aug 31, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 15927 AR Primary

Addresses

Primary practice location

1020 E Harold St
Fayetteville, AR 72703-3866

Mailing address

1020 E Harold St
Fayetteville, AR 72703-3866
Phone (479) 439-8121

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120402000569 AR Practitioner - Chiropractic 5799945564 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4155 N Steele Blvd
Suite 10
Fayetteville, AR 72703-5377
Phone (479) 439-8121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15927ARMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Ozanne Family Chiropractic Chiropractor CurrentSince Feb 8, 2012 Accepting new patients

Locations

1020 E Harold St
Fayetteville, AR 72703

4115 N Steele Blvd
Ste 10
Fayetteville, AR 72703

4115 N Steele Blvd
Ste 3
Fayetteville, AR 72703
Phone (479) 856-3415

4155 N Steele Blvd
Fayetteville, AR 72703
Phone (479) 439-8121

4155 N Steele Blvd
Ste 10
Fayetteville, AR 72703
Phone (479) 439-8121

Organizations & group practices 1

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": "1326240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1588934244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 E HAROLD ST",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727033866",
            "telephone_number": "479-439-8121",
            "fax_number": "479-397-3194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 E HAROLD ST",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727033866",
            "telephone_number": "479-439-8121",
            "fax_number": "479-397-3194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OZANNE",
        "first_name": "BENJAMIN",
        "middle_name": "ARN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-11",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "15927",
            "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 Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.