Fayetteville Chiropractic, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

FAYETTEVILLE CHIROPRACTIC, PLLC

Practice address

715 N College Ave
Fayetteville, AR 72701-3407

Phone

(479) 442-0352

NPI assigned

Jan 26, 2015

Last updated

Jan 26, 2015By 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

Dr. William Tyson Austin, DCNPI 1194003772

Title

Member

Phone

(479) 442-0352

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 4

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.

• William Tyson Austin, D.C.

  • Chiropractor
  • Rogers, AR
  • NPI 1194003772
  Medicare reassignment NPD Authorized official
• Meghann Diane Austin, D.C.

  • Chiropractor
  • Fayetteville, AR
  • NPI 1922386507
  Medicare reassignment NPD
• Madison Neely, DC

  • Chiropractor
  • Lee's Summit, MO
  • NPI 1821888652

  AR

  Medicare reassignment
• Kirk Robert Johnson, DC

  • Chiropractor
  • Fayetteville, AR
  • NPI 1871587261
  NPD (past)

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

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422230400000",
    "number": "1821488180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 N COLLEGE AVE",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727013407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 N COLLEGE AVE",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727013407",
            "telephone_number": "479-442-0352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAYETTEVILLE CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-26",
        "last_updated": "2015-01-26",
        "status": "A",
        "authorized_official_last_name": "AUSTIN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "TYSON",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "479-442-0352",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fayette-Kids Counseling, LLC
• Fayetteville Anesthesia Associates LLC
• Fayetteville Arkansas Hospital Company LLC (Northwest Health Physicians' Specialty Hospital)
• Fayetteville Arkansas Hospital Company LLC
• Fayetteville ASC LLC (North Hills Gastroenterology Endoscopy Center)
• Fayetteville Eyecare Clinic
• Fayetteville Family Eye Care
• Fayetteville Group Health, LLC
• Fayetteville MRI LLC
• Fayetteville Plastic Surgery Clinic (Plastic Surgery Clinic of Northwest Arkansas)

• Chiropractor in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Chiropractor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; 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.