DR. BRETT THACKERY (NPI# 1053968941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053968941 |
| Entity Type | Individual |
| Full Name | DR. BRETT THACKERY |
| Credential | DC |
| Practice Address |
2988 W Huntsville Ave Ste C Springdale AR 72762-7739 |
| Practice Telephone | 4797510190 |
| Mailing Telephone | 4797510190 |
| Enumeration Date | 2019-08-24 |
| Last Update Date | 2019-08-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 16223 | AR | Chiropractic Providers |
| Street Address |
2988 W HUNTSVILLE AVE STE C |
| City | SPRINGDALE |
| State | AR |
| Zip Code | 72762-7739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356981641 | North Arkansas Regenerative Medicine Ltd. | Clinic/Center | 2988 W Huntsville Ave Ste C, Springdale, AR 72762-7739 | 2020-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861013443 | Samantha G Abbey | Behavior Technician | 6836 Issac's Orchard Rd, Springdale, AR 72762 | 2020-05-05 |
| 1598393605 | Highlands Oncology Group Pa | Pharmacy | 3901 Parkway Circle, Springdale, AR 72762 | 2020-04-01 |
| 1366922320 | Mercy Northwest Arkansas Ambulatory Services LLC | Clinic/Center | 4962 Elm Springs Road, Suite 5, Springdale, AR 72762 | 2018-08-20 |
| 1790281087 | Cheryl Nikol Treat | Nurse Practitioner | 6801 Isaacs Orchard Rd Ste 211, Springdale, AR 72762 | 2018-04-04 |
| 1902304876 | Northwest Arkansas Physical Ability Testing Center, P.a. | Clinic/Center | 4001 Wagon Wheel Road, Springdale, AR 72762 | 2018-01-25 |
| 1609387612 | Rodriguez Dentistry Pllc | Dentist | 1521 Executive Place, Suite A, Springdale, AR 72762 | 2017-10-17 |
| 1306370630 | Medworks LLC | Internal Medicine | 986 Elmwood, Suite C, Springdale, AR 72762 | 2017-04-13 |
| 1790223006 | Sam's West, Inc. | Technician/Technologist | 1517 Gene George Blvd, Springdale, AR 72762 | 2017-02-07 |
| 1255875746 | Arkansas Childrens Northwest, Inc. | General Acute Care Hospital | 2601 South 56th Street, Springdale, AR 72762 | 2016-12-19 |
| 1114473261 | Whitney E Mix | Counselor | 1672 South 48th Street, Suite B, Springdale, AR 72762 | 2016-08-29 |
| Find all providers in zip 72762 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215591532 | Buena Vida Chiropractic LLC | Chiropractor | 246 S Maestri Rd Ste 4, Springdale, AR 72762-9703 | 2019-04-23 |
| 1336607050 | Peak Posture & Performance Pllc | Chiropractor | 7253 W Sunset Ave Ste I, Springdale, AR 72762-0991 | 2019-03-12 |
| 1447751490 | Perfect Circle Chiropractic, LLC | Chiropractor | 1391 Plaza Pl Ste B, Springdale, AR 72764-5225 | 2018-02-26 |
| 1114463270 | Blake Butler | Chiropractor | 203 Towne Park Rd Unit E, Springdale, AR 72762-1301 | 2017-01-13 |
| 1013374941 | Blair Sipes | Chiropractor | 3398 Paris Ln, Springdale, AR 72764-7596 | 2016-01-22 |
| 1659773133 | Northwest Arkansas Sunset Group, P.l.l.c | Chiropractor | 3277 W. Sunset Ave., Ste. A, Springdale, AR 72762 | 2014-09-16 |
| 1093144073 | Sunset Health and Wellness Inc | Chiropractor | 2250 W Sunset Ave Ste 5, Springdale, AR 72762-5187 | 2013-11-11 |
| 1578817722 | Cornerstone Spine & Rehab LLC | Chiropractor | 1127 S Gutensohn Rd Ste 106, Springdale, AR 72762-5189 | 2012-11-08 |
| 1447557079 | Huntington Clinic Pa | Chiropractor | 700 West Sunset, Springdale, AR 72764 | 2011-02-17 |
| 1497061717 | Watermark Chiropractic | Chiropractor | 501 W Emma Ave Ste A, Springdale, AR 72764-4412 | 2010-08-24 |
| Find all providers in SPRINGDALE | ||||
| City | SPRINGDALE |
| Zip Code | 72762 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.