Bibb Chiropractic Center Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1326 Issued in AR

Legal business name

BIBB CHIROPRACTIC CENTER INC

Practice address

1400 West Court Street
Suite 1
Paragould, AR 72450

Phone

(870) 239-6038

Fax

(870) 239-6037

NPI assigned

Feb 24, 2006

Last updated

May 10, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John G Bibb, DCNPI 1154402006

Title

Owner Chiropractor

Phone

(870) 239-6038

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Bibb Chiropractic Center Inc Former legal business name

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, and the practitioner matching its NPPES authorized official.

• John G Bibb, D.C.

  • Chiropractor
  • Paragould, AR
  • NPI 1154402006
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304985600000",
    "number": "1770559262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 WEST COURT STREET",
            "address_2": "SUITE 1",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "72450",
            "telephone_number": "870-239-6038",
            "fax_number": "870-239-6037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 WEST COURT STREET",
            "address_2": "SUITE 1",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "72450",
            "telephone_number": "870-239-6038",
            "fax_number": "870-239-6037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIBB CHIROPRACTIC CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-24",
        "last_updated": "2011-05-10",
        "status": "A",
        "authorized_official_last_name": "BIBB",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER CHIROPRACTOR",
        "authorized_official_telephone_number": "870-239-6038",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "1326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00093318",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUAL CHOICE",
            "identifier": "15717000040",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bibb Chiropractic Center Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• John G Bibb, D.C.
• Carrah R Bird
• Amber Blackburn
• Gage Blankenship
• Laney Revae Blankenship

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; 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.