Chiropractic Wellness Center, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1435 & 1085 Issued in AR

Legal business name

CHIROPRACTIC WELLNESS CENTER, LLC

Practice address

300 S Rodney Parham Rd
Suite 11
Little Rock, AR 72205-4774

Phone

(501) 663-4663

Fax

(501) 663-7689

NPI assigned

Dec 7, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Barbara Casey J Casey

Title

Office Manager

Phone

(501) 663-4663

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Trudy L Bennett, DC

  • Chiropractor
  • Little Rock, AR
  • NPI 1215962311
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375833600000",
    "number": "1942369798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S RODNEY PARHAM RD",
            "address_2": "SUITE 11",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722054747",
            "telephone_number": "501-663-4663",
            "fax_number": "501-663-7689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S RODNEY PARHAM RD",
            "address_2": "SUITE 11",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722054774",
            "telephone_number": "501-663-4663",
            "fax_number": "501-663-7689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-07",
        "last_updated": "2013-08-07",
        "status": "A",
        "authorized_official_last_name": "CASEY",
        "authorized_official_first_name": "BARBARA CASEY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "501-663-4663",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "1435 & 1085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GROUP",
            "identifier": "5G015",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "5G015",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE-PALMETTO",
            "identifier": "DN3101",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUAL CHOICE GROUP",
            "identifier": "19689000000",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167431718",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joy Angela Childress, APN
• Megan E Childress
• Collin Chiles
• Akshita Chintala, MBBS
• Chiropractic Health Center Gaylon E Carter DC PA
• Chiroservices Inc
• Chirowest PA
• Dan P Chisholm, MD
• Jeresa Lenell Chisholm
• Paul Blake Chism

• Chiropractor in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Chiropractor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; 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.