Organization Active NPI

Rock City Chiropractic PLLC

  • Chiropractor
  • Star City, AR
National Provider Identifier
1912303975
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ROCK CITY CHIROPRACTIC PLLC
Doing business as
Rock City
Practice address
904 N Drew St
Star City, AR 71667-5730
Phone
(501) 916-9692
Fax
(501) 916-9763
NPI assigned
Nov 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Authorized official

Name
Mrs. Lauren Vincent
Title
Office Manager
Phone
(501) 916-9692

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

904 N Drew St
Star City, AR 71667-5730

Mailing address

904 N Drew St
Star City, AR 71667-5730
Phone (501) 916-9692

Other names 1

  • Rock City Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141202001368 AR Part B Supplier - Clinic/Group Practice 8921320920 Receives reassigned benefits from 2 practitioners
Practice locations: Star City, AR

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
04D2315343Rock City Chiropractic & Wellness904 N Drew St, Star City, AR 71667Certificate of waiverDec 10, 2026

National Provider Directory

National Provider Directory

Locations

3000 Kavanaugh Blvd
Ste A
Little Rock, AR 72205
Phone (501) 499-4559

904 N Drew St
Star City, AR 71667
Phone (501) 231-8296

Practitioners & affiliated clinicians

Practitioners 2

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": "1416268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754438400000",
    "number": "1912303975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 N DREW ST",
            "city": "STAR CITY",
            "state": "AR",
            "postal_code": "716675730",
            "telephone_number": "501-916-9692",
            "fax_number": "501-916-9763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 N DREW ST",
            "city": "STAR CITY",
            "state": "AR",
            "postal_code": "716675730",
            "telephone_number": "501-916-9692",
            "fax_number": "501-916-9763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCK CITY CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-18",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A",
        "authorized_official_last_name": "VINCENT",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "501-916-9692",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rock City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Star City, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.