Dr. Jim Weatherley, D.C., P.a.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1696 Issued in AR

Legal business name

DR. JIM WEATHERLEY, D.C., P.A.

Practice address

2665 Donaghey Ave
Suite 104
Conway, AR 72032-2317

Phone

(501) 327-3355

Fax

(501) 327-3360

NPI assigned

Jan 21, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jim Weatherley, D.C.

Title

President

Phone

(501) 327-3355

Specialties & licenses 1

Addresses

Other names 1

• Natural State Clinic of Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jimmy Wayne Weatherley, D.C.

  • Chiropractor
  • Conway, AR
  • NPI 1740491448
  Medicare reassignment NPD
• Assen Petrov Bogdanov, M.D.

  • Internal Medicine Physician
  • Yonkers, NY
  • NPI 1841290723
  NPD (past)

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

{
    "created_epoch": "1200873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200873600000",
    "number": "1669658647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2665 DONAGHEY AVE",
            "address_2": "SUITE 104",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720322317",
            "telephone_number": "501-327-3355",
            "fax_number": "501-327-3360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2665 DONAGHEY AVE",
            "address_2": "SUITE 104",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720322317",
            "telephone_number": "501-327-3355",
            "fax_number": "501-327-3360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JIM WEATHERLEY, D.C., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-21",
        "last_updated": "2008-01-21",
        "status": "A",
        "authorized_official_last_name": "WEATHERLEY",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-327-3355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "1696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Natural State Clinic of Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jodi Gayle Douglass
• Linda Dowd, CMP
• Donna Michelle Dowlearn
• Ashley Dozler
• Dr Q Pain & Spine Clinic, PA
• Derrel Drayer
• Marissa Leann Dreher
• Anna Drinkwitz, PT
• Summer Druhan
• Straisley Alexandra Dubois, COTA/L

• Chiropractor in Conway, AR
• Providers in Conway, AR by specialty
• Chiropractor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.