Nathan Dale Mulanax, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1689 Issued in AR

Practice address

105 E Crandall Ave
Harrison, AR 72601-3629

Phone

(870) 704-4072

Fax

(870) 743-9881

NPI assigned

Apr 13, 2007

Last updated

Jan 16, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2006

Medicare assignment

May accept Medicare assignment

Group practices

Integrity Health Center, PLLCGroup PAC ID 6507953999, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Integrity Health Center, PLLC

  • Chiropractor
  • Harrison, AR
  • NPI 1831395565
  Medicare reassignment Care Compare group NPD Authorized official
• Coats Chiropractic Clinic PA

  • Chiropractor
  • Jasper, AR
  • NPI 1073637195
  NPD (past)
• Coats Chiropractic Clinic PA

  • Clinic/Center
  • Jasper, AR
  • NPI 1124276225
  NPD (past)

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232064000000",
    "number": "1750505392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 E CRANDALL AVE",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726013629",
            "telephone_number": "870-704-4072",
            "fax_number": "870-743-9881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E CRANDALL AVE",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726013629",
            "telephone_number": "870-704-4072",
            "fax_number": "870-743-9881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULANAX",
        "first_name": "NATHAN",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-13",
        "last_updated": "2009-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "1689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167484718",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5A367",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mount Vista Healthcare LLC
• Mountaincrest Rehab Services
• Nicolette Sue Mourer, OT-A
• Movement Health Solutions PA
• Keisha Mudgett, MHPP
• George Myers
• Meredith Rae Myers, MSN, APRN FNP-BC
• Mandy Nash, ATC
• Peter Neckles, MHPP
• Nes Arkansas, Inc.

• Chiropractor in Harrison, AR
• Providers in Harrison, AR by specialty
• Chiropractor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2009; 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.