Active NPI
Christen C Spain, LMT
- Specialist
- Fort Smith, AR
National Provider Identifier
1912159229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 6648
- Practice address
- 115 N 10TH St
Suite B 105
Fort Smith, AR 72901-2703 - Phone
- (479) 709-3900
- NPI assigned
- Oct 17, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 6648 | AR | Primary |
Addresses
Primary practice location
115 N 10TH St
Suite B 105
Fort Smith, AR 72901-2703
Mailing address
PO Box 546
Fort Smith, AR 72902-0546
Phone (479) 709-3900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6648 | AR | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Itr Incorporated | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Fort Smith, AR
- NPI 1114178936
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224201600000",
"number": "1912159229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 546",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729020546",
"telephone_number": "479-709-3900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 N 10TH ST",
"address_2": "SUITE B 105",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729012703",
"telephone_number": "479-709-3900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPAIN",
"first_name": "CHRISTEN",
"middle_name": "C",
"name_prefix": "Miss",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-17",
"last_updated": "2008-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AR",
"license": "6648",
"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 Oct 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.