Individual provider Active NPI

Justin Thompson, DC

  • Chiropractor
  • Harrison, AR
National Provider Identifier
1922436864
Registry record updated Oct 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
16023 Issued in AR
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

Updated by the provider on Oct 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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, PLLCGroup PAC ID 6507953999, 4 clinicians

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

OrganizationSpecialtyStatusNew patients
Integrity Health Center, PLLC Chiropractor CurrentSince Jan 30, 2014 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.

Verify at the official NPI Registry.