Paul Dwight Betts Jr., DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1521 Issued in AR

Practice address

2705 Paula Dr
Jonesboro, AR 72404-8017

Phone

(870) 713-0738

NPI assigned

Nov 20, 2006

Last updated

May 21, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Betts Family Chiropractic Inc

  • Chiropractor
  • Jonesboro, AR
  • NPI 1306910690
  Medicare reassignment NPD Authorized official
• Betts Clinic LLC

  • Chiropractor
  • Jonesboro, AR
  • NPI 1457932535
  Authorized official Same address or phone
• Betts Family Chiropractic

  • Independent Medical Examiner Chiropractor
  • Jonesboro, AR
  • NPI 1043476930
  NPD (past) Authorized official

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1972677268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 E MATTHEWS AVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014332",
            "telephone_number": "870-897-3722",
            "fax_number": "870-802-0352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 PAULA DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724048017",
            "telephone_number": "870-713-0738"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1811 Executive Square",
            "address_purpose": "LOCATION",
            "city": "Jonesboro",
            "state": "AR",
            "postal_code": "72401",
            "country_code": "US",
            "telephone_number": "870-931-3722",
            "fax_number": "870-802-0352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BETTS",
        "first_name": "PAUL",
        "middle_name": "DWIGHT",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2021-05-21",
        "certification_date": "2021-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "1521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7119090",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR BCBS",
            "identifier": "5U532",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "54532",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Betts Clinic LLC
• Betts Family Chiropractic
• Betts Family Chiropractic Inc
• James Betts
• Kandral Betts
• Faith Kimberlin Smith Bevill, PA-C
• Jay K Bhama, MD
• Sulaiman S Bharwani, M.D., FAAP, FACG
• BHG L, LLC (BHG Medical Services-Jonesboro)
• Harold Biazo, LCSW

• Chiropractor in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Chiropractor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; 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.