Individual provider Active NPI

Christopher Taylor Elder, D.C.

  • Chiropractor
  • Bentonville, AR
National Provider Identifier
1700330750
Registry record updated Aug 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
16142 Issued in AR
Practice address
1803 SW Regional Airport Blvd Ste 9
Bentonville, AR 72712-8792
Phone
(479) 319-6211
NPI assigned
Aug 8, 2016
Last updated
Aug 8, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 16142 AR Primary

Addresses

Primary practice location

1803 SW Regional Airport Blvd Ste 9
Bentonville, AR 72712-8792

Mailing address

1803 SW Regional Airport Blvd Ste 9
Bentonville, AR 72712-8792
Phone (479) 319-6211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161026002689 AR Practitioner - Chiropractic 3072891092 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Natural State Chiropractic PLLCGroup PAC ID 9436437456, 2 clinicians

Practice addresses (Care Compare)

1801 SW Regional Airport Blvd
Suite 1
Bentonville, AR 72713-7757
Phone (479) 319-6211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Natural State Chiropractic PLLC Chiropractor CurrentSince Oct 20, 2016 Accepting new patients

Locations

1801 SW Regional Airport Blvd
Ste 1
Bentonville, AR 72713
Phone (479) 367-6812

1803 SW Regional Airport Blvd
Ste 9
Bentonville, AR 72713
Phone (479) 252-3321

4805 W Highland Knolls Rd
Ste 200
Rogers, AR 72758
Phone (479) 372-7708

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1470614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470614400000",
    "number": "1700330750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 SW REGIONAL AIRPORT BLVD STE 9",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727128792",
            "telephone_number": "479-319-6211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 SW REGIONAL AIRPORT BLVD STE 9",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727128792",
            "telephone_number": "479-319-6211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELDER",
        "first_name": "CHRISTOPHER",
        "middle_name": "TAYLOR",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-08",
        "last_updated": "2016-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "16142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bentonville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2016; 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.