Individual provider Active NPI

Ben Adam Pittman, D.C.

  • Chiropractor
  • Little Rock, AR
National Provider Identifier
1659502482
Registry record updated Oct 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
15634 Issued in AR
Practice address
12911 Cantrell Rd
Little Rock, AR 72223-1701
Phone
(501) 224-1224
NPI assigned
Jul 28, 2009
Last updated
Oct 26, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 15634 AR Primary

Addresses

Primary practice location

12911 Cantrell Rd
Little Rock, AR 72223-1701

Mailing address

12911 Cantrell Rd
Little Rock, AR 72223-1701
Phone (501) 224-1224

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091109000648 AR Practitioner - Chiropractic 8325186547 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Dr. Ben Pittman LLCGroup PAC ID 2163709320, 2 clinicians

Practice addresses (Care Compare)

2116 E Kiehl Ave
Back to Life Health Center
Sherwood, AR 72120-3130
Phone (501) 834-2060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15634ARMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Natural State Integrative Medicine, P.a. CurrentSince Mar 11, 2019 Accepting new patients
Dr. Ben Pittman LLC Chiropractor CurrentSince Dec 5, 2016 Accepting new patients
Benjamin M. Phillips DC PA Chiropractor PastSince May 12, 2022 Accepting new patients

Locations

12911 Cantrell Rd
Ste 4
Little Rock, AR 72223
Phone (501) 224-1224

2116 E Kiehl Ave
Sherwood, AR 72120
Phone (501) 834-2060

Organizations & group practices 3

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": "1248739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319587200000",
    "number": "1659502482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12911 CANTRELL RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722231701",
            "telephone_number": "501-224-1224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12911 CANTRELL RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722231701",
            "telephone_number": "501-224-1224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTMAN",
        "first_name": "BEN",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-28",
        "last_updated": "2011-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "15634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; 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.