Destiny Spine Rehabilitation & Acupuncture, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

DESTINY SPINE REHABILITATION & ACUPUNCTURE, LLC

Practice address

2356 N Highway 7
Hot Springs Village, AR 71909-9309

Phone

(501) 356-0655

Fax

(501) 984-9822

NPI assigned

Jan 13, 2023

Organization subpart

No

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

Authorized official

Name

Alice Cardona, DCNPI 1881343143

Title

Owner

Phone

(501) 356-0655

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, and the practitioner matching its NPPES authorized official.

• Alice M. Cardona, DC

  • Chiropractor
  • Hot Springs Village, AR
  • NPI 1881343143
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1673568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685059200000",
    "number": "1790490761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2356 N HIGHWAY 7",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719099309",
            "telephone_number": "501-356-0655",
            "fax_number": "501-984-9822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2356 N HIGHWAY 7",
            "city": "HOT SPRINGS VILLAGE",
            "state": "AR",
            "postal_code": "719099309",
            "telephone_number": "501-356-0655",
            "fax_number": "501-984-9822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTINY SPINE REHABILITATION & ACUPUNCTURE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-13",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A",
        "authorized_official_last_name": "CARDONA",
        "authorized_official_first_name": "ALICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-356-0655",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Ashley Crain
• Crayton Don Dailey, D.C.
• Zachery Davis
• Leslie Delorenzo
• Stephan Delorenzo
• Devan Medical (West Gate Walk-In Clinic)
• Verominina Cortez Devore, CNA
• Chanda Christine Deyoung, CCHT
• Douglas Logan Distefano, DPT
• Mickey Lee Drake I, OPTICIAN

• Chiropractor in Hot Springs Village, AR
• Providers in Hot Springs Village, AR by specialty
• Chiropractor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; 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.