Wayne Chiropractic, Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

15697 Issued in AR

Legal business name

WAYNE CHIROPRACTIC, INC

Practice address

400 W 4TH St
Corning, AR 72422-2724

Phone

(870) 857-8840

NPI assigned

Jul 15, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Chancellor P Wayne, D.C.NPI 1588733471

Title

Owner/President

Phone

(573) 344-2644

Specialties & licenses 1

Addresses

Other names 1

• Wayne Chiropractic Other name

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 1

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

• Chancellor Palmer Wayne, D.C.

  • Chiropractor
  • Kennett, MO
  • NPI 1588733471
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247616000000",
    "number": "1679703466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 SAINT FRANCIS ST",
            "city": "KENNETT",
            "state": "MO",
            "postal_code": "638571779",
            "telephone_number": "573-888-8840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W 4TH ST",
            "city": "CORNING",
            "state": "AR",
            "postal_code": "724222724",
            "telephone_number": "870-857-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-15",
        "last_updated": "2009-07-15",
        "status": "A",
        "authorized_official_last_name": "WAYNE",
        "authorized_official_first_name": "CHANCELLOR",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "573-344-2644",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AR",
            "license": "15697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wayne Chiropractic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Luke Alexander Valdez
• Carley J Vallance
• Cailyn A Vannada
• Jerri L Vannada
• Walmart Inc.
• Katie Jean Wells, LCSW
• Kristen Westmoreland
• Brady Allen Whaley
• Jordon Everett Whitley
• Christopher Whittaker

• Clinic/Center in Corning, AR
• Providers in Corning, AR by specialty
• Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2009; 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.