Active NPI
Douglas Brent Garrison, DC
- Chiropractor
- Mammoth Spring, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1368
- Practice address
- 350 Bethel Ave
Mammoth Spring, AR 72554-0157 - Phone
- (870) 625-3355
- Fax
- (870) 625-3356
- NPI assigned
- Jun 29, 2006
- Last updated
- Sep 1, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1368 | AR | Primary |
| Chiropractor | 111N00000X | 006314 | MO |
Addresses
Primary practice location
350 Bethel Ave
Mammoth Spring, AR 72554-0157
Mailing address
PO Box 157
Mammoth Spring, AR 72554-0157
Phone (870) 625-3355
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
350 Bethel Ave
Mammoth Spring, AR 72554-8001
Phone (870) 625-3355
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006314 | MO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spring River Chiropractic | Chiropractor | Current | Accepting new patients |
| Ozarks Medical Center | Past | Accepting new patients |
Locations
350 Bethel Ave
Mammoth Spring, AR 72554
Phone (870) 625-3355
350 Main St
Ste 1
Mammoth Spring, AR 72554
Phone (870) 625-3355
Organizations & group practices 2
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.
-
- Chiropractor
- Mammoth Spring, AR
- NPI 1750432555
-
dba Ozarks Healthcare
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314835200000",
"number": "1760410484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 157",
"city": "MAMMOTH SPRING",
"state": "AR",
"postal_code": "725540157",
"telephone_number": "870-625-3355",
"fax_number": "870-625-3356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 BETHEL AVE",
"city": "MAMMOTH SPRING",
"state": "AR",
"postal_code": "725540157",
"telephone_number": "870-625-3355",
"fax_number": "870-625-3356"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARRISON",
"first_name": "DOUGLAS",
"middle_name": "BRENT",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2011-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AR",
"license": "1368",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "006314",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mammoth Spring, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2011; 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.