Individual provider Active NPI

Christopher Kershner, DC

  • Chiropractor
  • Conway, AR
National Provider Identifier
1669283354
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12430 Issued in AR
Practice address
2100 Meadowlake Rd Ste 10
Conway, AR 72032-2569
Phone
(501) 513-3322
Fax
(501) 513-3065
NPI assigned
Jan 14, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 12430 AR Primary

Addresses

Primary practice location

2100 Meadowlake Rd Ste 10
Conway, AR 72032-2569

Mailing address

2100 Meadowlake Rd Ste 10
Conway, AR 72032-2569
Phone (501) 513-3322

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250226003976 AR Practitioner - Chiropractic 9234659764 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Connection Chiropractic, Inc.Group PAC ID 0648501692, 3 clinicians

Practice addresses (Care Compare)

2100 Meadowlake Rd
Suite 10
Conway, AR 72032-2569
Phone (501) 513-3322

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12430ARMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Health Connection Chiropractic, Inc. Chiropractor CurrentSince Jan 21, 2025 Accepting new patients

Locations

2100 Meadowlake Rd
Ste 10
Conway, AR 72032
Phone (501) 420-3884

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1736812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1669283354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 MEADOWLAKE RD STE 10",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720322569",
            "telephone_number": "501-513-3322",
            "fax_number": "501-513-3065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 MEADOWLAKE RD STE 10",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720322569",
            "telephone_number": "501-513-3322",
            "fax_number": "501-513-3065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERSHNER",
        "first_name": "CHRISTOPHER",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-14",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "12430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; 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.