Elite Spine & Joint, PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

16155 Issued in AR

Legal business name

ELITE SPINE & JOINT, PLLC

Practice address

3309 Winchester
Benton, AR 72015-2896

Phone

(501) 575-0271

Fax

(501) 575-0274

NPI assigned

May 2, 2017

Organization subpart

No

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

Authorized official

Name

Dr. John Dylan Machycek, DCNPI 1609301845

Title

Owner

Phone

(501) 653-2225

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• John Dylan Machycek, D.C.

  • Chiropractor
  • Benton, AR
  • NPI 1609301845
  NPD Authorized official

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

{
    "created_epoch": "1493683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1699201376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3309 WINCHESTER",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720152896",
            "telephone_number": "501-575-0271",
            "fax_number": "501-575-0274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3309 WINCHESTER",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720152896",
            "telephone_number": "501-575-0271",
            "fax_number": "501-575-0274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE SPINE & JOINT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-02",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MACHYCEK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DYLAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-653-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AR",
            "license": "16155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LICENSE NO.",
            "identifier": "16155",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zade Edwards
• Adam Efird, RECOVERY ASSISTANT
• Joel Eldridge
• Keith Eldridge, RECOVERY ASSISTANT
• Kelly Eldridge, LPE-I
• Michelle Elkins, RECOVERY ASSISTANT
• Darius M Elliott Jr.
• Cristal Ellis, LAC
• Ashley Michelle Ellison, COTA/L
• Kelly Elrod, PHARMACY TECH.

• Clinic/Center in Benton, AR
• Providers in Benton, 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 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.