Individual provider Active NPI

Eric Brian Santos, D.C.

  • Chiropractor
  • Bentonville, AR
National Provider Identifier
1841235249
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1675 Issued in AR
Practice address
1706 SE Walton Blvd
Ste. 6
Bentonville, AR 72712-3200
Phone
(479) 464-4413
NPI assigned
Jun 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1675 AR Primary

Addresses

Primary practice location

1706 SE Walton Blvd
Ste. 6
Bentonville, AR 72712-3200

Mailing address

3333 S Pinnacle Hills Pkwy Ste 430
Rogers, AR 72758-9091
Phone (479) 464-4413

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080211000707 AR Practitioner - Chiropractic 7214010487 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3333 S Pinnacle Hills Pkwy
Suite 430
Rogers, AR 72758-9091
Phone (479) 464-4413

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Santos Chiropractic, PLLC Chiropractor CurrentSince Feb 25, 2010 Accepting new patients
Larry J Bell D.C., P.a. Chiropractor Past Accepting new patients

Locations

1706 SE Walton Blvd
Ste 6
Bentonville, AR 72712
Phone (479) 464-4413

3333 S Pinnacle Hills Pkwy
Ste 430
Rogers, AR 72758
Phone (479) 464-4413

Organizations & group practices 2

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": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1841235249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 S PINNACLE HILLS PKWY STE 430",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727589091",
            "telephone_number": "479-464-4413",
            "fax_number": "479-464-4430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 SE WALTON BLVD",
            "address_2": "STE. 6",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727123200",
            "telephone_number": "479-464-4413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "ERIC",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "1675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bentonville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; 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.