Organization Active NPI

Natural State Chiropractic, PLLC

  • Chiropractor
  • Bentonville, AR
National Provider Identifier
1629526256
Registry record updated Sep 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
16142 Issued in AR
Legal business name
NATURAL STATE CHIROPRACTIC, PLLC
Practice address
1803 SW Regional Airport Blvd Ste 9
Bentonville, AR 72712-8792
Phone
(479) 319-6211
NPI assigned
Sep 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2016

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

Authorized official

Name
Christopher Taylor Elder, D.C.
Title
Owner
Phone
(501) 622-0109

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 16142 AR Primary

Addresses

Primary practice location

1803 SW Regional Airport Blvd Ste 9
Bentonville, AR 72712-8792

Mailing address

1803 SW Regional Airport Blvd Ste 9
Bentonville, AR 72712-8792
Phone (479) 319-6211

National Provider Directory

National Provider Directory
Tax ID family
Natural State Chiropractic PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1473638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473638400000",
    "number": "1629526256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 SW REGIONAL AIRPORT BLVD STE 9",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727128792",
            "telephone_number": "479-319-6211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 SW REGIONAL AIRPORT BLVD STE 9",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727128792",
            "telephone_number": "479-319-6211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATURAL STATE CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-12",
        "last_updated": "2016-09-12",
        "status": "A",
        "authorized_official_last_name": "ELDER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "TAYLOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-622-0109",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "16142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bentonville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.