Phillip Kyle Garretson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1106 Issued in AR

Practice address

306 S College St
Mountain Home, AR 72653-3945

Phone

(870) 425-4222

Fax

(870) 425-4223

NPI assigned

Oct 26, 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 1

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Garretson Clinic, P.a.Group PAC ID 0244411742, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Garretson Clinic, P.a.

  dba Garretson Chiropractic Clinic

  • Chiropractor
  • Mountain Home, AR
  • NPI 1962563924
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689759938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 S COLLEGE ST",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726533945",
            "telephone_number": "870-425-4222",
            "fax_number": "870-425-4223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 S COLLEGE ST",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726533945",
            "telephone_number": "870-425-4222",
            "fax_number": "870-425-4223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRETSON",
        "first_name": "PHILLIP",
        "middle_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "1106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "59244B739",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Galliant Ar LLC
• Nyx Gaona, QBHP
• Kaitlyn Elizabeth Gardner, QBHP
• William R Garner, CRNA
• Deanna Lyn Garretson, D.C.
• Traci Renee Garringer, LCSW
• Gary B Wells MD PA
• Gary B Wells MD, PLLC
• Isaac Gaston, APRN
• Gates Prosthetics & Mobility Clinic Co

• Chiropractor in Mountain Home, AR
• Providers in Mountain Home, AR by specialty
• Chiropractor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.