Henry Lind Seubold, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

937 Issued in AR

Practice address

5600 Euper Lane
Seubold Chirpractic Clinic
Fort Smith, AR 72903

Phone

(479) 484-7200

Fax

(479) 484-7991

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Seubold Chiropractic Clinic

  • Chiropractor
  • Fort Smith, AR
  • NPI 1144388323
  NPD

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294790400000",
    "number": "1962513077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 EUPER LANE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "72903",
            "telephone_number": "479-484-7200",
            "fax_number": "479-484-7991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 EUPER LANE",
            "address_2": "SEUBOLD CHIRPRACTIC CLINIC",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "72903",
            "telephone_number": "479-484-7200",
            "fax_number": "479-484-7991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEUBOLD",
        "first_name": "HENRY",
        "middle_name": "LIND",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2011-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "937",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "2102",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE CLINIC #",
            "identifier": "57697",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric Selby
• Select Specialty Hospital - Fort Smith Inc
• Eyerusalem Belachew Seleshi
• Seubold Chiropractic Clinic
• Seubold Chiropractic Clinic PLLC
• Joshua Donald Seubold, D.C.
• Cyril E Severns, MD
• Emma Sewell, DPT
• Jennifer Lynn Sewell, CRNA
• Muhammad Usman Shahbaz

• Chiropractor in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Chiropractor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2011; 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.