Active NPI
Ozark Spinal Associates, PLLC
- Rehabilitation Chiropractor
- Fayetteville, AR
National Provider Identifier
1861550048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5C670 | Other | AR | BCBS |
Other names 1
- Millennium Chiropractic & Rehab
National Provider Directory
National Provider DirectoryLocations
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.