Reform Chiropractic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

REFORM CHIROPRACTIC PLLC

Practice address

2308 SE 28TH St Ste 8
Bentonville, AR 72712-3701

Phone

(479) 250-9834

Fax

(479) 250-9834

NPI assigned

Jun 24, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Parker Alan Swiggart, DCNPI 1093328585

Title

Owner/ Chiropractor

Phone

(479) 250-9834

Specialties & licenses 1

Addresses

Other names 1

• Reform Chiropractic Doing business as

Electronic endpoints 1

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.

• Parker Alan Swiggart, DC

  • Chiropractor
  • Bentonville, AR
  • NPI 1093328585
  Medicare reassignment NPD Authorized official
• Joseph Edward Petrella, DC

  • Chiropractor
  • Bentonville, AR
  • NPI 1649002213
  Medicare reassignment NPD

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

{
    "created_epoch": "1624492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624492800000",
    "number": "1891364717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2308 SE 28TH ST STE 8",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727123701",
            "telephone_number": "479-250-9834",
            "fax_number": "479-250-9834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2308 SE 28TH ST STE 8",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727123701",
            "telephone_number": "479-250-9834",
            "fax_number": "479-250-9834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFORM CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-24",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A",
        "authorized_official_last_name": "SWIGGART",
        "authorized_official_first_name": "PARKER",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER/ CHIROPRACTOR",
        "authorized_official_telephone_number": "479-250-9834",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.reform-chiropractic.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Website",
            "address_1": "2308 SE 28th St Ste 8",
            "city": "Bentonville",
            "state": "AR",
            "country_code": "US",
            "postal_code": "727123701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Reform Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shelly Reaves, LPC, LADAC, MAC, SAP
• Rebecca C. Bryan D.D.S.,P. a.
• Laura D Reed, MHPP
• Lynn Addie Reed
• Alicia Reeves
• Regional Therapy, LLC
• Andrew Douglas Reichert, PHD
• Barlow S Reid
• Megan Meredith Reid, RN
• Sandra Reilly, MHPP/TEACHER

• Chiropractor in Bentonville, AR
• Providers in Bentonville, AR by specialty
• Chiropractor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; 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.