Southerland Chiropractic Clinic

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SOUTHERLAND CHIROPRACTIC CLINIC

Practice address

1150 S Waldron Rd
Fort Smith, AR 72903-2583

Phone

(479) 452-4433

Fax

(479) 452-2355

NPI assigned

Apr 18, 2006

Organization subpart

No

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

Authorized official

Name

Miss Grace Conner

Title

Insurance Clerk/Privacy Official

Phone

(479) 452-4433

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730144429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 S WALDRON RD",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729032583",
            "telephone_number": "479-452-4433",
            "fax_number": "479-452-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 S WALDRON RD",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729032583",
            "telephone_number": "479-452-4433",
            "fax_number": "479-452-2355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERLAND CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CONNER",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "INSURANCE CLERK/PRIVACY OFFICIAL",
        "authorized_official_telephone_number": "479-452-4433",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Chiropractor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.