Bella Vista Back Center PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1376 Issued in AR

Legal business name

BELLA VISTA BACK CENTER PA

Practice address

2850 Bella Vista Way
Bella Vista, AR 72714-3708

Phone

(479) 855-3553

Fax

(479) 855-7618

NPI assigned

Jul 29, 2009

Last updated

Aug 26, 2009By 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

Mrs. Carol L Reynolds, DCNPI 1811974173

Title

Dotor of Chiropractic

Phone

(479) 855-3553

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

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.

• Carol L Reynolds, DC

  • Chiropractor
  • Bella Vista, AR
  • NPI 1811974173
  Medicare reassignment NPD Authorized official
• Rebecca D. Millsap, D.C.

  • Chiropractor
  • Saint Joseph, MO
  • NPI 1811174337
  NPD (past)

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

{
    "created_epoch": "1248825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251244800000",
    "number": "1801027529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 BELLA VISTA WAY",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727143708",
            "telephone_number": "479-855-3553",
            "fax_number": "479-855-7618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 BELLA VISTA WAY",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727143708",
            "telephone_number": "479-855-3553",
            "fax_number": "479-855-7618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLA VISTA BACK CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-29",
        "last_updated": "2009-08-26",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DOTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "479-855-3553",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "1376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• LD Barney, LADC, LADAC, SAP
• Patrick Shaun Barry, D.C.
• Nolan W Barton, OT
• Eric Eugene Belin, MD
• Bella Vista Ambulance Services, Inc.
• Bella Vista Counseling
• Bella Vista Healthcare LLC (Concordia Care Center)
• Bella Vista Hearing Center PLLC
• Bella Vista Pharmacy, Inc
• James M Billis, D.C.

• Chiropractor in Bella Vista, AR
• Providers in Bella Vista, AR by specialty
• Chiropractor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2009; 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.