BB Chiropractic Inc

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A004094 Issued in AR

Legal business name

BB CHIROPRACTIC INC

Practice address

623 Fayetteville Rd
Van Buren, AR 72956-3418

Phone

(479) 410-2225

Fax

(479) 410-9238

NPI assigned

Nov 1, 2012

Organization subpart

No

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

Authorized official

Name

Lance Clouse, APRNNPI 1740249523

Title

President

Phone

(479) 410-2225

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 2

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

• Lance Gordon Clouse, APRN

  • Family Nurse Practitioner
  • Van Buren, AR
  • NPI 1740249523
  Medicare reassignment Authorized official
• Louis G Sasser, MD

  • Family Medicine Physician
  • Van Buren, AR
  • NPI 1770581845
  NPD (past)

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

{
    "created_epoch": "1351728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431561600000",
    "number": "1831443696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6577",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729560482",
            "telephone_number": "479-410-2225",
            "fax_number": "479-410-9238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 FAYETTEVILLE RD",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729563418",
            "telephone_number": "479-410-2225",
            "fax_number": "479-410-9238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BB CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-01",
        "last_updated": "2015-05-14",
        "status": "A",
        "authorized_official_last_name": "CLOUSE",
        "authorized_official_first_name": "LANCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-410-2225",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A004094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Kay Barlow, PHARM.D
• Traci Barrios, LAC
• Emily Anne Barton, CRNA
• Kimberly Baskette
• Christina Marie Bastible
• Stacey Nicole Bearden, COTA/L
• Leah Graham Beauchamp
• Lonette A Bebensee, D.O.
• Shaterra Belcher
• Theresa Bell, LPC

• Family Nurse Practitioner in Van Buren, AR
• Providers in Van Buren, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.