Individual provider Active NPI

Dustin Worthen, DC

  • Chiropractor
  • Little Rock, AR
National Provider Identifier
1740746049
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
16217 Issued in AR
Practice address
12400 Cantrell Rd Ste 5
Little Rock, AR 72223-1706
Phone
(501) 471-9560
NPI assigned
Feb 12, 2019
Last updated
Jan 31, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 16217 AR Primary

Addresses

Primary practice location

12400 Cantrell Rd Ste 5
Little Rock, AR 72223-1706

Mailing address

4108 Lakeview Rd
North Little Rock, AR 72116-7331
Phone (256) 420-7693

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190228002645 AR Practitioner - Chiropractic 6507105962 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12400 Cantrell Rd
Suite 5
Little Rock, AR 72223-1706
Phone (501) 471-9560

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Family Wellness PLLC Chiropractor CurrentSince Feb 1, 2024 Accepting new patients
Restoration Health PLLC Chiropractor CurrentSince Jan 15, 2019 Accepting new patients
Restoration Health of Conway Chiropractor PastSince Jan 15, 2019 Accepting new patients

Locations

12400 Cantrell Rd
Ste 5
Little Rock, AR 72223
Phone (501) 471-9560

15400 Chenal Pkwy
Ste 120
Little Rock, AR 72211
Phone (501) 400-7700

Organizations & group practices 3

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": "1549929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1740746049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4108 LAKEVIEW RD",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721167331",
            "telephone_number": "256-420-7693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12400 CANTRELL RD STE 5",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722231706",
            "telephone_number": "501-471-9560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORTHEN",
        "first_name": "DUSTIN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-12",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "16217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.