Organization Active NPI

Grounded Within Chiropractic PLLC

  • Chiropractor
  • Fayetteville, AR
National Provider Identifier
1639928781
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
GROUNDED WITHIN CHIROPRACTIC PLLC
Practice address
4170 W Martin Luther King Jr Blvd Ste 506
Fayetteville, AR 72704-7702
Phone
(479) 222-0082
NPI assigned
May 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Authorized official

Name
Dr. Kevin Campos, DC
Title
Owner/Chiropractor
Phone
(479) 387-7227

Specialties & licenses 1

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

Addresses

Primary practice location

4170 W Martin Luther King Jr Blvd Ste 506
Fayetteville, AR 72704-7702

Mailing address

4170 W Martin Luther King Jr Blvd Ste 506
Fayetteville, AR 72704-7702
Phone (479) 222-0082

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1715558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715558400000",
    "number": "1639928781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4170 W MARTIN LUTHER KING JR BLVD STE 506",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727047702",
            "telephone_number": "479-222-0082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4170 W MARTIN LUTHER KING JR BLVD STE 506",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727047702",
            "telephone_number": "479-222-0082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROUNDED WITHIN CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-13",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A",
        "authorized_official_last_name": "CAMPOS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "479-387-7227",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "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 May 13, 2024; 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.