NPIMap

Organization Active NPI

Wallace Hays Family Chiropractic Clinic, PA

  • Medical Specialty Clinic/Center
  • Fort Smith, AR
National Provider Identifier
1891084471
Registry record updated Apr 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
929 Issued in AR
Legal business name
WALLACE HAYS FAMILY CHIROPRACTIC CLINIC, PA
Practice address
3111 Jenny Lind Rd
Fort Smith, AR 72901-6738
Phone
(479) 783-0779
Fax
(479) 782-6442
NPI assigned
Apr 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2011

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

Authorized official

Name
Dr. Wallace Hays, DCNPI 1992767875
Title
Owner
Phone
(479) 783-0779

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 929 AR Primary

Addresses

Primary practice location

3111 Jenny Lind Rd
Fort Smith, AR 72901-6738

Mailing address

PO Box 3996
Fort Smith, AR 72913-3996
Phone (479) 783-0779

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110419000944 AR Part B Supplier - Clinic/Group Practice 3375728223 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Smith, AR

National Provider Directory

National Provider Directory

Locations

3111 Jenny Lind Rd
Fort Smith, AR 72901
Phone (479) 783-0779

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1301875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301875200000",
    "number": "1891084471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3996",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729133996",
            "telephone_number": "479-783-0779",
            "fax_number": "479-782-6442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 JENNY LIND RD",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729016738",
            "telephone_number": "479-783-0779",
            "fax_number": "479-782-6442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALLACE HAYS FAMILY CHIROPRACTIC CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-04",
        "last_updated": "2011-04-04",
        "status": "A",
        "authorized_official_last_name": "HAYS",
        "authorized_official_first_name": "WALLACE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-783-0779",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "AR",
            "license": "929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2011; 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.