Individual provider Active NPI

Holden Wade Byassee, D.C

  • Chiropractor
  • Wynne, AR
National Provider Identifier
1669377545
Registry record updated Oct 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12508 Issued in AR
Practice address
711 Eldridge Ave E Ste a
Wynne, AR 72396-4032
Phone
(870) 238-8210
Fax
(870) 238-8210
NPI assigned
Oct 12, 2026
Last updated
Oct 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 12508 AR Primary

Addresses

Primary practice location

711 Eldridge Ave E Ste a
Wynne, AR 72396-4032

Mailing address

711 Eldridge Ave E Ste a
Wynne, AR 72396-4032
Phone (870) 238-8210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1791763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791763200000",
    "number": "1669377545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 ELDRIDGE AVE E STE A",
            "city": "WYNNE",
            "state": "AR",
            "postal_code": "723964032",
            "telephone_number": "870-238-8210",
            "fax_number": "870-238-8210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 ELDRIDGE AVE E STE A",
            "city": "WYNNE",
            "state": "AR",
            "postal_code": "723964032",
            "telephone_number": "870-238-8210",
            "fax_number": "870-238-8210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYASSEE",
        "first_name": "HOLDEN",
        "middle_name": "WADE",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-10-12",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "12508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wynne, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.