Arbor Vitae Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

16124 Issued in AR

Legal business name

ARBOR VITAE CHIROPRACTIC INC

Practice address

1401 S Walton Blvd Ste 25
Bentonville, AR 72712-6139

Phone

(479) 208-6766

Fax

(479) 435-7120

NPI assigned

Apr 28, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Niemela, DCNPI 1851746747

Title

Owner

Phone

(479) 208-6766

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 1

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

• Thomas Niemela, DC

  • Chiropractor
  • Bentonville, AR
  • NPI 1851746747

  AR, Chiropractor

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1461801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573603200000",
    "number": "1760837652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 S WALTON BLVD STE 25",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727126139",
            "telephone_number": "479-208-6766",
            "fax_number": "479-435-7120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S WALTON BLVD STE 25",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727126139",
            "telephone_number": "479-208-6766",
            "fax_number": "479-435-7120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARBOR VITAE CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-28",
        "last_updated": "2019-11-13",
        "status": "A",
        "authorized_official_last_name": "NIEMELA",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-208-6766",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "16124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Bentonville, AR
• Chiropractor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.