Active NPI
Eric Shawn Bailey, DC
- Chiropractor
- Gravette, AR
National Provider Identifier
1649266305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1380
- Practice address
- 125 Main St SE
Suite a
Gravette, AR 72736-8753 - Phone
- (479) 787-7555
- Fax
- (479) 787-7444
- NPI assigned
- Sep 27, 2005
- Last updated
- Sep 27, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1380 | AR | Primary |
Addresses
Primary practice location
125 Main St SE
Suite a
Gravette, AR 72736-8753
Mailing address
125 Main St SE
Suite a
Gravette, AR 72736-8753
Phone (479) 787-7555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5T055 | Other | AR | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1380 | AR | MD | Chiropractor |
| 4656 | CO | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bailey Health Center, LLC | Chiropractor | Past | Accepting new patients |
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": "1127779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380240000000",
"number": "1649266305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 MAIN ST SE",
"address_2": "SUITE A",
"city": "GRAVETTE",
"state": "AR",
"postal_code": "727368753",
"telephone_number": "479-787-7555",
"fax_number": "479-787-7444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 MAIN ST SE",
"address_2": "SUITE A",
"city": "GRAVETTE",
"state": "AR",
"postal_code": "727368753",
"telephone_number": "479-787-7555",
"fax_number": "479-787-7444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "ERIC",
"middle_name": "SHAWN",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-27",
"last_updated": "2013-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AR",
"license": "1380",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "5T055",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gravette, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.