Paul Anthony Nesterenko, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1342 Issued in AR

Practice address

301 N Shackleford Rd Ste B3
Little Rock, AR 72211-2882

Phone

(501) 223-5130

Fax

(501) 223-8043

NPI assigned

Aug 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• Nesterenko Specific Chiropractic, Inc

  • Chiropractor
  • Little Rock, AR
  • NPI 1063677268
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992811285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N SHACKLEFORD RD STE B3",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722112882",
            "telephone_number": "501-223-5130",
            "fax_number": "501-223-8043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N SHACKLEFORD RD STE B3",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722112882",
            "telephone_number": "501-223-5130",
            "fax_number": "501-223-8043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESTERENKO",
        "first_name": "PAUL",
        "middle_name": "ANTHONY",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "1342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nephropathology Associates, PLC
• Denise Anne Nesbitt, M.S.
• Greg Nesdahl
• James Darrell Nesmith, MD
• Nesterenko Specific Chiropractic, Inc
• Nicholas Edmund Nettles Sr.
• Network of Wellness, LLC
• Cynthia Anne Neuhofel
• Neurology Clinic of Central Arkansas
• Neurosurgery Arkansas, PLLC

• Chiropractor in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Chiropractor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.