Organization Active NPI

Booneville Chiropractic, Inc

  • Chiropractor
  • Booneville, AR
National Provider Identifier
1730505876
Registry record updated Apr 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1290 Issued in AR
Legal business name
BOONEVILLE CHIROPRACTIC, INC
Practice address
181 West 6TH Street
Booneville, AR 72927
Phone
(479) 675-4253
NPI assigned
Mar 13, 2014
Last updated
Apr 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2014

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

Authorized official

Name
Dr. James A. Hale, D.C.NPI 1811951080
Title
Pres.
Phone
(479) 675-4253

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 1290 AR
Chiropractor 111N00000X 1290 AR Primary

Addresses

Primary practice location

181 West 6TH Street
Booneville, AR 72927

Mailing address

.P.O Box 597
Booneville, AR 72927
Phone (479) 675-4253

Other identifiers 1

IdentifierTypeStateIssuer
130690718MedicaidAR

National Provider Directory

National Provider Directory

Locations

181 W 6th St
Booneville, AR 72927
Phone (479) 675-4253

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1394668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397606400000",
    "number": "1730505876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": ".P.O BOX 597",
            "city": "BOONEVILLE",
            "state": "AR",
            "postal_code": "72927",
            "telephone_number": "479-675-4253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 WEST 6TH STREET",
            "city": "BOONEVILLE",
            "state": "AR",
            "postal_code": "72927",
            "telephone_number": "479-675-4253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOONEVILLE CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-13",
        "last_updated": "2014-04-16",
        "status": "A",
        "authorized_official_last_name": "HALE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRES.",
        "authorized_official_telephone_number": "479-675-4253",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AR",
            "license": "1290",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "1290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130690718",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Booneville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2014; 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.