Organization Active NPI

PCM Chiropractic, PA

Doing business as Power Chiropractic 4

  • Chiropractor
  • Maumelle, AR
National Provider Identifier
1780381053
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PCM CHIROPRACTIC, PA
Doing business as
Power Chiropractic 4
Practice address
201 Commerce Dr Ste B
Maumelle, AR 72113-6708
Phone
(501) 333-9330
Fax
(501) 333-9335
NPI assigned
Feb 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

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

Authorized official

Name
Dr. Mary Chandler, DC
Title
President
Phone
(870) 307-4798

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

201 Commerce Dr Ste B
Maumelle, AR 72113-6708

Mailing address

201 Commerce Dr Ste B
Maumelle, AR 72113-6708
Phone (501) 333-9330

Other names 1

  • Power Chiropractic 4 Doing business as

National Provider Directory

National Provider Directory

Locations

201 Commerce Dr
Ste B
Maumelle, AR 72113
Phone (501) 333-9330

NPI Registry JSON

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

{
    "created_epoch": "1675728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675728000000",
    "number": "1780381053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 COMMERCE DR STE B",
            "city": "MAUMELLE",
            "state": "AR",
            "postal_code": "721136708",
            "telephone_number": "501-333-9330",
            "fax_number": "501-333-9335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 COMMERCE DR STE B",
            "city": "MAUMELLE",
            "state": "AR",
            "postal_code": "721136708",
            "telephone_number": "501-333-9330",
            "fax_number": "501-333-9335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PCM CHIROPRACTIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-07",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A",
        "authorized_official_last_name": "CHANDLER",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-307-4798",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Power Chiropractic 4",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Maumelle, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; 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.