Northwest Arkansas Integrated Medical, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NORTHWEST ARKANSAS INTEGRATED MEDICAL, INC

Practice address

1300 SE 14TH St Ste 2
Bentonville, AR 72712-6814

Phone

(479) 271-6992

NPI assigned

Oct 28, 2019

Organization subpart

No

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

Authorized official

Name

Jeffrey SmithNPI 1992783427

Title

Owner

Phone

(479) 531-5533

Specialties & licenses 1

Addresses

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey Raymond Smith, DC

  • Chiropractor
  • Bentonville, AR
  • NPI 1992783427
  NPD (past) Authorized official
• Mark Steven Dean, DC

  • Chiropractor
  • Siloam Springs, AR
  • NPI 1023096542
  NPD (past)
• Janice Diane Labrie, DC, FIAMA

  • Chiropractor
  • Bentonville, AR
  • NPI 1477791184
  NPD (past)

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

{
    "created_epoch": "1572220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572220800000",
    "number": "1801439302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 SE 14TH ST STE 2",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727126814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 SE 14TH ST STE 2",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727126814",
            "telephone_number": "479-271-6992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST ARKANSAS INTEGRATED MEDICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-28",
        "last_updated": "2019-10-28",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-531-5533"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Norris
• Sean Northrip, MHPP
• Northwest Arkansas Classical Academy
• Northwest Arkansas HBP Services LLC
• Northwest Arkansas Immunization
• Northwest Arkansas Internal Medicine, PLLC
• Northwest Arkansas Primary Care Physicians, PA
• Northwest Arkansas Renal Dialysis Associates
• Northwest Benton County Physician Services LLC
• Northwest Counseling, Inc.

• All providers in Bentonville, AR
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; 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.