Active NPI
Justin Thompson, DC
- Chiropractor
- Harrison, AR
National Provider Identifier
1922436864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 16023
- Practice address
- 106 E Crandall Ave
Suite a
Harrison, AR 72601-3628 - Phone
- (870) 704-4072
- Fax
- (870) 743-9881
- NPI assigned
- Oct 30, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 16023 | AR | Primary |
Addresses
Primary practice location
106 E Crandall Ave
Suite a
Harrison, AR 72601-3628
Mailing address
106 E Crandall Ave
Suite a
Harrison, AR 72601-3628
Phone (870) 704-4072
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140327000301 | AR | Practitioner - Chiropractic | 5395976823 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Integrity Health Center, PLLC
Practice addresses (Care Compare)
910 Hwy 62 65
Harrison, AR 72601-2148
910 Hwy 62 65 N
Harrison, AR 72601-2148
Phone (870) 704-4072
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrity Health Center, PLLC | Chiropractor | Current | Accepting new patients |
Locations
106 E Crandall Ave
#A
Harrison, AR 72601
Phone (870) 704-4072
910 Highway 62 65 N
Harrison, AR 72601
Phone (870) 704-4072
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383091200000",
"number": "1922436864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 E CRANDALL AVE",
"address_2": "SUITE A",
"city": "HARRISON",
"state": "AR",
"postal_code": "726013628",
"telephone_number": "870-704-4072",
"fax_number": "870-743-9881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 E CRANDALL AVE",
"address_2": "SUITE A",
"city": "HARRISON",
"state": "AR",
"postal_code": "726013628",
"telephone_number": "870-704-4072",
"fax_number": "870-743-9881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "JUSTIN",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-10-30",
"last_updated": "2013-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AR",
"license": "16023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Harrison, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2013; 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.