Lagena L Rosa DC PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1711 Issued in AR

Legal business name

LAGENA L ROSA DC PA

Doing business as

Bradford Square Chiropractic

Practice address

230 Hwy 5 North
Suite 10
Mountain Home, AR 72653-2416

Phone

(870) 424-3611

Fax

(870) 424-3761

NPI assigned

Aug 24, 2007

Organization subpart

No

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

Authorized official

Name

Lagena L Rosa, DC

Title

President

Phone

(870) 424-3611

Specialties & licenses 1

Addresses

Other names 1

• Bradford Square Chiropractic Doing business as

Locations

Practitioners 2

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

• Sarah D Bright, D.C.

  • Chiropractor
  • Mountain Home, AR
  • NPI 1104485325
  NPD (past)
• Jacquelyn Shae Cramton

  • Massage Therapist
  • Mountain Home, AR
  • NPI 1043834518
  NPD (past)

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

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258934400000",
    "number": "1750574422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 HWY 5 NORTH",
            "address_2": "SUITE 10",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532416",
            "telephone_number": "870-424-3611",
            "fax_number": "870-424-3761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 HWY 5 NORTH",
            "address_2": "SUITE 10",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532416",
            "telephone_number": "870-424-3611",
            "fax_number": "870-424-3761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAGENA L ROSA DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-24",
        "last_updated": "2009-11-23",
        "status": "A",
        "authorized_official_last_name": "ROSA",
        "authorized_official_first_name": "LAGENA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-424-3611",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "1711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bradford Square Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristy Dawson Counseling Services
• Kimberly Eve Kroeze, PT, DPT
• Carmel C Kruse, FNPBC
• Hayley Erin Lackey
• Michelle Lacriola
• Jennifer Lambert, APRN
• Stephanie Lancaster
• William Lynn Landrum, MD
• Arnold Patrick Landry
• Langevin Eye Center P.a.

• Chiropractor in Mountain Home, AR
• Providers in Mountain Home, AR by specialty
• Chiropractor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2009; 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.