Haley Chiropractic Life Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

927 Issued in AR

Legal business name

HALEY CHIROPRACTIC LIFE CENTER

Practice address

5 New St
Quitman, AR 72131-8607

Phone

(501) 589-2222

Fax

(501) 589-2222

NPI assigned

Oct 13, 2006

Last updated

Sep 30, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Susan Denise Haley

Title

Office Manager

Phone

(501) 589-2222

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Practitioners 3

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.

• Caitlin Haley Corona, DC

  • Independent Medical Examiner Chiropractor
  • Quitman, AR
  • NPI 1982162103
  Medicare reassignment Care Compare group NPD
• Samuel Scott Haley, D.C.

  • Chiropractor
  • Quitman, AR
  • NPI 1588625115
  Medicare reassignment Care Compare group NPD
• Melissa Jane Faulkenberry, D.C.

  • Chiropractor
  • Little Rock, AR
  • NPI 1306815303
  NPD (past)

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601424000000",
    "number": "1972693430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 335",
            "city": "QUITMAN",
            "state": "AR",
            "postal_code": "721310335",
            "telephone_number": "501-589-2222",
            "fax_number": "501-589-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 NEW ST",
            "city": "QUITMAN",
            "state": "AR",
            "postal_code": "721318607",
            "telephone_number": "501-589-2222",
            "fax_number": "501-589-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALEY CHIROPRACTIC LIFE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A",
        "authorized_official_last_name": "HALEY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "501-589-2222",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112370718",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Boston Mountain Rural Health Center Inc.
• Ashley Clifton, LAC
• Caitlin Haley Corona, DC
• Timothy Justin Deaton
• Mikka Elizabeth Fenley, APRN
• Samuel Scott Haley, D.C.
• Johnson Pharmacy
• Kishia Marie Johnson, LAT,ATC
• Thomas J Johnson, PD
• Leona C. Kemper, D.D.S.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; 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.