Organization Active NPI

Estes Chiropractic

  • Preferred Provider Organization
  • Bentonville, AR
National Provider Identifier
1922207828
Registry record updated Jul 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
#1256 Issued in AR
Legal business name
ESTES CHIROPRACTIC
Practice address
113 NW 2ND St
Bentonville, AR 72712-5232
Phone
(479) 271-2273
Fax
(479) 271-2109
NPI assigned
Jul 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2007

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

Authorized official

Name
Mr. Mark Estes, D. C.
Title
Owner
Phone
(479) 271-2273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X #1256 AR Primary

Addresses

Primary practice location

113 NW 2ND St
Bentonville, AR 72712-5232

Mailing address

113 NW 2ND St
Bentonville, AR 72712-5232
Phone (479) 271-2273

Other identifiers 3

IdentifierTypeStateIssuer
5F658OtherARBCBS CLINIC
5U573OtherARBCBS
59784OtherARBLUE CROSS

National Provider Directory

National Provider Directory

Locations

113 NW 2nd St
Bentonville, AR 72712
Phone (479) 271-2273

Practitioners & affiliated clinicians

Practitioners 1

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": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184198400000",
    "number": "1922207828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 NW 2ND ST",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727125232",
            "telephone_number": "479-271-2273",
            "fax_number": "479-271-2109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 NW 2ND ST",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727125232",
            "telephone_number": "479-271-2273",
            "fax_number": "479-271-2109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESTES CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2007-07-12",
        "status": "A",
        "authorized_official_last_name": "ESTES",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-271-2273",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D. C."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "AR",
            "license": "#1256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS CLINIC",
            "identifier": "5F658",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5U573",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "59784",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bentonville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.