Active NPI
Anthony Orlando Le, DC
- Chiropractor
- Bentonville, AR
National Provider Identifier
1700350378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 16209
- Practice address
- 1706 SE Walton Blvd Ste 6
Bentonville, AR 72712-3201 - Phone
- (479) 464-4413
- Fax
- (479) 464-4430
- NPI assigned
- Jan 17, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 16209 | AR | Primary |
Addresses
Primary practice location
1706 SE Walton Blvd Ste 6
Bentonville, AR 72712-3201
Mailing address
1706 SE Walton Blvd Ste 6
Bentonville, AR 72712-3201
Phone (479) 464-4413
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Kansas City, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
246 S Maestri Rd
Suite 4
Tontitown, AR 72762-9703
Phone (479) 751-2322
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16209 | AR | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Buena Vida Chiropractic LLC | Chiropractor | Current | Accepting new patients |
| Santos Chiropractic PLLC | Chiropractor | Current | Accepting new patients |
| Northwest Arkansas Functional Health LLC | Current | Accepting new patients | |
| Santos Chiropractic, PLLC | Chiropractor | Past | Accepting new patients |
Locations
1706 SE Walton Blvd
Ste 6
Bentonville, AR 72712
Phone (479) 464-4413
246 S Maestri Rd
Ste 4
Tontitown, AR 72762
Phone (479) 220-9909
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Springdale, AR
- NPI 1215591532
-
- Nurse Practitioner
- Tontitown, AR
- NPI 1417669029
-
- Chiropractor
- Bentonville, AR
- NPI 1487128955
-
- Chiropractor
- Bentonville, AR
- NPI 1477889566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547683200000",
"number": "1700350378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1706 SE WALTON BLVD STE 6",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727123201",
"telephone_number": "479-464-4413",
"fax_number": "479-464-4430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1706 SE WALTON BLVD STE 6",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727123201",
"telephone_number": "479-464-4413",
"fax_number": "479-464-4430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LE",
"first_name": "ANTHONY",
"middle_name": "ORLANDO",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-01-17",
"last_updated": "2019-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AR",
"license": "16209",
"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 Jan 17, 2019; 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.