Organization Active NPI

Collins Chiropractic Center LLC

  • Chiropractor
  • Monticello, AR
National Provider Identifier
1730499229
Registry record updated Oct 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1336 Issued in AR
Legal business name
COLLINS CHIROPRACTIC CENTER LLC
Practice address
975 Highway 425 N
Monticello, AR 71655-4400
Phone
(870) 367-1919
Fax
(870) 367-2807
NPI assigned
Oct 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2010

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

Authorized official

Name
Dr. Ryan D, CollinsNPI 1265411680
Title
Chiropractor
Phone
(870) 367-1919

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1336 AR Primary

Addresses

Primary practice location

975 Highway 425 N
Monticello, AR 71655-4400

Mailing address

975 Highway 425 N
Monticello, AR 71655-4400
Phone (870) 367-1919

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101025000651 AR Part B Supplier - Clinic/Group Practice 4789877515 Receives reassigned benefits from 2 practitioners
Practice locations: Monticello, AR

National Provider Directory

National Provider Directory

Locations

975 Highway 425 N
Monticello, AR 71655
Phone (870) 367-1919

106 N Hyatt St
Monticello, AR 71655
Phone (870) 367-1919

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287360000000",
    "number": "1730499229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 HIGHWAY 425 N",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716554400",
            "telephone_number": "870-367-1919",
            "fax_number": "870-367-2807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 HIGHWAY 425 N",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716554400",
            "telephone_number": "870-367-1919",
            "fax_number": "870-367-2807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLINS CHIROPRACTIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-18",
        "last_updated": "2010-10-18",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "D,",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "870-367-1919",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "1336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.