Organization Active NPI

Natural State Chiropractic PLLC

  • Chiropractor
  • Bentonville, AR
National Provider Identifier
1922551563
Registry record updated Oct 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
16143 Issued in AR
Legal business name
NATURAL STATE CHIROPRACTIC PLLC
Practice address
1803 SW Regional Airport Blvd
Ste. 9
Bentonville, AR 72712-7755
Phone
(479) 319-6211
NPI assigned
Aug 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2016

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

Authorized official

Name
Dr. Dillon Quayed Crawford, D.CNPI 1851845895
Title
Chiropractor
Phone
(479) 319-6211

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 16143 AR Primary

Addresses

Primary practice location

1803 SW Regional Airport Blvd
Ste. 9
Bentonville, AR 72712-7755

Mailing address

1803 SW Regional Airport Blvd Ste 9
Bentonville, AR 72712-8792
Phone (479) 319-6211

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161026001888 AR Part B Supplier - Clinic/Group Practice 9436437456 Receives reassigned benefits from 2 practitioners
Practice locations: Bentonville, AR; Rogers, AR

National Provider Directory

National Provider Directory
Tax ID family
Natural State Chiropractic PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1801 SW Regional Airport Blvd
Ste 1
Bentonville, AR 72713
Phone (479) 367-6812

Practitioners & affiliated clinicians

Practitioners 3

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": "1470009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476144000000",
    "number": "1922551563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 SW REGIONAL AIRPORT BLVD STE 9",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727128792",
            "telephone_number": "479-319-6211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 SW REGIONAL AIRPORT BLVD",
            "address_2": "STE. 9",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727127755",
            "telephone_number": "479-319-6211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATURAL STATE CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-01",
        "last_updated": "2016-10-11",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "DILLON",
        "authorized_official_middle_name": "QUAYED",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "479-319-6211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "16143",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.