Organization Active NPI

Sederberg Chiropractic Clinic

  • Chiropractor
  • Batesville, AR
National Provider Identifier
1649301458
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1077 Issued in AR
Legal business name
SEDERBERG CHIROPRACTIC CLINIC
Practice address
2121 Harrison St
Batesville, AR 72501-7416
Phone
(870) 793-7370
Fax
(870) 793-7370
NPI assigned
Mar 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Richard L Sederberg, DC
Title
President
Phone
(870) 793-7370

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1077 AR Primary

Addresses

Primary practice location

2121 Harrison St
Batesville, AR 72501-7416

Mailing address

2121 Harrison St
Batesville, AR 72501-7416
Phone (870) 793-7370

National Provider Directory

National Provider Directory

Locations

2121 Harrison St
Batesville, AR 72501
Phone (870) 793-7370

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649301458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 HARRISON ST",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017416",
            "telephone_number": "870-793-7370",
            "fax_number": "870-793-7370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 HARRISON ST",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017416",
            "telephone_number": "870-793-7370",
            "fax_number": "870-793-7370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEDERBERG CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SEDERBERG",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-793-7370",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "1077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Batesville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.