Organization Active NPI

Core Health and Performance LLC

  • Chiropractor
  • Fayetteville, AR
National Provider Identifier
1982247904
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CORE HEALTH AND PERFORMANCE LLC
Practice address
3480 N Summerhill Dr Ste 1
Fayetteville, AR 72703-3852
Phone
(479) 443-6768
Fax
(479) 715-8088
NPI assigned
Oct 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

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

Authorized official

Name
John A Hutchison, DCNPI 1790030054
Title
Owner
Phone
(479) 443-6768

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

3480 N Summerhill Dr Ste 1
Fayetteville, AR 72703-3852

Mailing address

3480 N Summerhill Dr Ste 1
Fayetteville, AR 72703-3852
Phone (479) 443-6768

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200317000076 AR Part B Supplier - Clinic/Group Practice 6406284900 Receives reassigned benefits from 1 practitioner
Practice locations: Fayetteville, AR

National Provider Directory

National Provider Directory

Locations

3480 N Summerhill Dr
Ste 1
Fayetteville, AR 72703
Phone (479) 443-6768

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581552000000",
    "number": "1982247904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3480 N SUMMERHILL DR STE 1",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727033852",
            "telephone_number": "479-443-6768",
            "fax_number": "479-715-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3480 N SUMMERHILL DR STE 1",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727033852",
            "telephone_number": "479-443-6768",
            "fax_number": "479-715-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE HEALTH AND PERFORMANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-22",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A",
        "authorized_official_last_name": "HUTCHISON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-443-6768",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.