Cameron James Mitchell, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

15640 Issued in AR

Practice address

520 E Pointer TRL
Suite B
Van Buren, AR 72956-2304

Phone

(479) 474-7246

Fax

(479) 474-6103

NPI assigned

Jan 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251936000000",
    "number": "1679552814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 E POINTER TRL",
            "address_2": "SUITE B",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729562304",
            "telephone_number": "479-474-7246",
            "fax_number": "479-474-6103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 E POINTER TRL",
            "address_2": "SUITE B",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729562304",
            "telephone_number": "479-474-7246",
            "fax_number": "479-474-6103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "CAMERON",
        "middle_name": "JAMES",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-16",
        "last_updated": "2009-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "15640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP BCBS NUMBER",
            "identifier": "5C789",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE #",
            "identifier": "15640",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL BCBS NUMBER",
            "identifier": "5X278",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE ID #",
            "identifier": "652679",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Mills, P.T.
• Amberlie Rhea Ming
• Danielle N Minnis
• Jessica Rose Minton, APRN
• Amanda Lynn Mitchell
• Autumn Skye Mitchelle
• Jocelyn Mae Mitchelle, OT
• Riley Wayne Mitchelle
• Abbigail Mizell
• Mobilecare Dental, PLLC

• Chiropractor in Van Buren, AR
• Providers in Van Buren, AR by specialty
• Chiropractor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2009; 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.