Individual provider Active NPI

Mark Andrew Sewell, D.C.

  • Chiropractor
  • Springdale, AR
National Provider Identifier
1811055023
Registry record updated Sep 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1514 Issued in AR
Practice address
4618 S Thompson St Ste D
Springdale, AR 72764-7467
Phone
(479) 756-9661
Fax
(479) 756-6251
NPI assigned
Dec 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1514 AR Primary

Addresses

Primary practice location

4618 S Thompson St Ste D
Springdale, AR 72764-7467

Mailing address

3291 S Thompson St
Ste D102
Springdale, AR 72764-7357
Phone (479) 756-9661

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100511000100 AR Practitioner - Chiropractic 1153459524 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 1997
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2060 Orchard St
Springdale, AR 72764-5910
Phone (479) 756-9661

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1514ARMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Sewell Healthwise Chiropractic P.a. Chiropractor CurrentSince Feb 26, 2010 Accepting new patients

Locations

3291 S Thompson St
Ste D102
Springdale, AR 72764
Phone (479) 756-9661

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567728000000",
    "number": "1811055023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3291 S THOMPSON ST",
            "address_2": "STE D102",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727647357",
            "telephone_number": "479-756-9661",
            "fax_number": "479-756-6251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4618 S THOMPSON ST STE D",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727647467",
            "telephone_number": "479-756-9661",
            "fax_number": "479-756-6251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEWELL",
        "first_name": "MARK",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2019-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "1514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2019; 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.