Organization Active NPI

Ozark Spinal Associates, PLLC

  • Rehabilitation Chiropractor
  • Fayetteville, AR
National Provider Identifier
1861550048
Registry record updated Feb 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
Legal business name
OZARK SPINAL ASSOCIATES, PLLC
Practice address
2744 E Millennium PL
Suite 1
Fayetteville, AR 72703-4798
Phone
(479) 571-8400
Fax
(479) 571-8401
NPI assigned
Dec 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2014

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

Authorized official

Name
Eric W Walker, DC
Title
Member
Phone
(479) 571-8400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X Primary

Addresses

Primary practice location

2744 E Millennium PL
Suite 1
Fayetteville, AR 72703-4798

Mailing address

2744 E Millennium PL
Suite 1
Fayetteville, AR 72703-4798
Phone (479) 571-8400

Other identifiers 1

IdentifierTypeStateIssuer
5C670OtherARBCBS

Other names 1

  • Millennium Chiropractic & Rehab Doing business as

National Provider Directory

National Provider Directory

Locations

2744 E Millennium Dr
Ste 1
Fayetteville, AR 72703
Phone (479) 571-6000

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391990400000",
    "number": "1861550048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2744 E MILLENNIUM PL",
            "address_2": "SUITE 1",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034798",
            "telephone_number": "479-571-8400",
            "fax_number": "479-571-8401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2744 E MILLENNIUM PL",
            "address_2": "SUITE 1",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034798",
            "telephone_number": "479-571-8400",
            "fax_number": "479-571-8401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OZARK SPINAL ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2014-02-10",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "479-571-8400",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5C670",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Millennium Chiropractic & Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.