Active NPI
Estes Chiropractic
- Preferred Provider Organization
- Bentonville, AR
National Provider Identifier
1922207828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preferred Provider Organization
- License
- #1256
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5F658 | Other | AR | BCBS CLINIC |
| 5U573 | Other | AR | BCBS |
| 59784 | Other | AR | BLUE CROSS |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Chiropractor
- Benton, KY
- NPI 1871563635
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.