Organization Active NPI

Advance Chiropractic and Performance

  • Chiropractor
  • Little Rock, AR
National Provider Identifier
1942873294
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ADVANCE CHIROPRACTIC AND PERFORMANCE
Practice address
301 N Shackleford Rd Ste F1
Little Rock, AR 72211-2887
Phone
(501) 404-8910
NPI assigned
Jul 22, 2021
Last updated
Aug 26, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

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

Authorized official

Name
Billy Derek Huddleston, DCNPI 1538766597
Title
Owner
Phone
(501) 366-1919

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
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

301 N Shackleford Rd Ste F1
Little Rock, AR 72211-2887

Mailing address

11900 Pleasant Ridge Rd Apt 1322
Little Rock, AR 72223-2486
Phone (501) 366-1919

Other practice location 1

11668 River Bend Dr
Leavenworth, WA 98826-9353
Phone (501) 366-1919

Other practice location 2

11900 Pleasant Ridge Rd Apt 1322
Little Rock, AR 72223-2486
Phone (501) 366-1919

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1626912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661472000000",
    "number": "1942873294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11900 PLEASANT RIDGE RD APT 1322",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722232486",
            "telephone_number": "501-366-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N SHACKLEFORD RD STE F1",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722112887",
            "telephone_number": "501-404-8910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11668 River Bend Dr",
            "address_purpose": "LOCATION",
            "city": "Leavenworth",
            "state": "WA",
            "postal_code": "988269353",
            "country_code": "US",
            "telephone_number": "501-366-1919",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11900 Pleasant Ridge Rd Apt 1322",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722232486",
            "country_code": "US",
            "telephone_number": "501-366-1919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVANCE CHIROPRACTIC AND PERFORMANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-22",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A",
        "authorized_official_last_name": "HUDDLESTON",
        "authorized_official_first_name": "BILLY",
        "authorized_official_middle_name": "DEREK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-366-1919",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.