Adjust for Vitality Chiropractic & Acupuncture

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

2012028482 Issued in MO

Legal business name

ADJUST FOR VITALITY CHIROPRACTIC & ACUPUNCTURE

Practice address

1703 Forest Hills Blvd
Bella Vista, AR 72715-2340

Phone

(479) 657-2112

Fax

(479) 657-2117

NPI assigned

Jul 15, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Patrick Shaun Barry, D.C.NPI 1639517089

Title

Doctor/Owner

Phone

(479) 670-1438

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.

• Patrick Shaun Barry, D.C.

  • Rehabilitation Chiropractor
  • Bella Vista, AR
  • NPI 1639517089
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373846400000",
    "number": "1801237169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 NE MOBERLY LN",
            "address_2": "APT R10",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727126144",
            "telephone_number": "479-670-1438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 FOREST HILLS BLVD",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727152340",
            "telephone_number": "479-657-2112",
            "fax_number": "479-657-2117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADJUST FOR VITALITY CHIROPRACTIC & ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-15",
        "last_updated": "2013-07-15",
        "status": "A",
        "authorized_official_last_name": "BARRY",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "SHAUN",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "479-670-1438",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "MO",
            "license": "2012028482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gunnar Agcaoili, PTA
• Kattie J Allen, MD
• Katharine Danielle Arburn
• Arkansas CVS Pharmacy, L.L.C.
• Allie Kendrick Austin, AU.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2013; 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.