Organization Active NPI

Legarde Chiropractic & Wellness, PLLC

  • Clinic/Center
  • Mountain Home, AR
National Provider Identifier
1992219190
Registry record updated Nov 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
16047 Issued in AR
Legal business name
LEGARDE CHIROPRACTIC & WELLNESS, PLLC
Practice address
230 Highway 5 N Ste 30
Mountain Home, AR 72653-3030
Phone
(870) 580-0999
NPI assigned
Nov 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2017

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

Authorized official

Name
Dr. Faron Legarde, DCNPI 1144549437
Title
Owner/Clinic Director
Phone
(870) 580-0999

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
Clinic/Center 261Q00000X 16047 AR Primary

Addresses

Primary practice location

230 Highway 5 N Ste 30
Mountain Home, AR 72653-3030

Mailing address

230 Highway 5 N Ste 30
Mountain Home, AR 72653-3030

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180112001944 AR Part B Supplier - Clinic/Group Practice 9638438963 Receives reassigned benefits from 1 practitioner
Practice locations: Mountain Home, AR

National Provider Directory

National Provider Directory

Locations

230 Highway 5 N
Ste 30
Mountain Home, AR 72653
Phone (870) 580-0999

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": "1511740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511740800000",
    "number": "1992219190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 HIGHWAY 5 N STE 30",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726533030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 HIGHWAY 5 N STE 30",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726533030",
            "telephone_number": "870-580-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGARDE CHIROPRACTIC & WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-27",
        "last_updated": "2017-11-27",
        "status": "A",
        "authorized_official_last_name": "LEGARDE",
        "authorized_official_first_name": "FARON",
        "authorized_official_title_or_position": "OWNER/CLINIC DIRECTOR",
        "authorized_official_telephone_number": "870-580-0999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AR",
            "license": "16047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Home, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2017; 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.