Organization Active NPI

Diamond State Chiropractic LLC

  • Chiropractor
  • Little Rock, AR
National Provider Identifier
1790449981
Registry record updated Oct 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DIAMOND STATE CHIROPRACTIC LLC
Doing business as
Diamond State Chiropractic LLC
Practice address
11220 N Rodney Parham Rd Ste 6
Little Rock, AR 72212-4161
Phone
(501) 246-3844
Fax
(501) 246-3188
NPI assigned
Oct 25, 2021
Last updated
Oct 25, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2021

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

Authorized official

Name
Kevin Nguyen, DCNPI 1922697119
Title
Chiropractor
Phone
(501) 590-7376

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

11220 N Rodney Parham Rd Ste 6
Little Rock, AR 72212-4161

Mailing address

11220 N Rodney Parham Rd Ste 6
Little Rock, AR 72212-4161
Phone (501) 246-3844

Other names 1

  • Diamond State Chiropractic LLC Doing business as

National Provider Directory

National Provider Directory

Locations

11220 N Rodney Parham Rd
Ste 6
Little Rock, AR 72212
Phone (501) 246-3844

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635120000000",
    "number": "1790449981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11220 N RODNEY PARHAM RD STE 6",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722124161",
            "telephone_number": "501-246-3844",
            "fax_number": "501-246-3188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11220 N RODNEY PARHAM RD STE 6",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722124161",
            "telephone_number": "501-246-3844",
            "fax_number": "501-246-3188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAMOND STATE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-25",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "501-590-7376",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diamond State Chiropractic LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; 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.