Individual provider Active NPI

Kelli Love Harris, DC

  • Chiropractor
  • Heber Springs, AR
National Provider Identifier
1801978325
Registry record updated Jan 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1586 Issued in AR
Practice address
2000 Highway 25B North
Suite E1
Heber Springs, AR 72543
Phone
(501) 206-0408
Fax
(501) 206-0410
NPI assigned
Oct 20, 2006
Last updated
Jan 18, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1586 AR Primary

Addresses

Primary practice location

2000 Highway 25B North
Suite E1
Heber Springs, AR 72543

Mailing address

2000 Highway 25B North
Suite E1
Heber Springs, AR 72543
Phone (501) 206-0408

Other identifiers 1

IdentifierTypeStateIssuer
5W747OtherBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080506000326 AR Practitioner - Chiropractic 6305925199 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2001
Medicare assignment
May accept Medicare assignment
Group practices
Harris Chiropractic and Acupuncture PAGroup PAC ID 4688753478, 2 clinicians

Practice addresses (Care Compare)

2000 Hwy 25B E1
Heber Springs, AR 72543-6418
Phone (501) 206-0408

2000 Hwy 25B N
Suite E 1
Heber Springs, AR 72543-6418

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1586ARMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Harris Chiropractic & Acupuncture PA Chiropractor CurrentSince Jan 1, 2008 Accepting new patients
Alan B Carnathan DC PA Chiropractor Past Accepting new patients
Lakeside Chiropractic, PLLC PastSince Apr 1, 2017 Accepting new patients

Locations

2000 Highway 25B
Ste E1
Heber Springs, AR 72543
Phone (501) 206-0408

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200614400000",
    "number": "1801978325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 HIGHWAY 25B NORTH",
            "address_2": "SUITE E1",
            "city": "HEBER SPRINGS",
            "state": "AR",
            "postal_code": "72543",
            "telephone_number": "501-206-0408",
            "fax_number": "501-206-0410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 HIGHWAY 25B NORTH",
            "address_2": "SUITE E1",
            "city": "HEBER SPRINGS",
            "state": "AR",
            "postal_code": "72543",
            "telephone_number": "501-206-0408",
            "fax_number": "501-206-0410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "KELLI",
        "middle_name": "LOVE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2008-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "1586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5W747",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Heber Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.