DR. KODY LELAN CHASTAIN (NPI# 1164065330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164065330 |
| Entity Type | Individual |
| Full Name | DR. KODY LELAN CHASTAIN |
| Credential | D.C. |
| Practice Address |
1583 Main Dr Fayetteville AR 72704-5214 |
| Practice Telephone | 4794430800 |
| Mailing Telephone | 4794430800 |
| Enumeration Date | 2019-10-21 |
| Last Update Date | 2019-10-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NR0400X |
Chiropractor Specialization: Rehabilitation |
T16233 | AR | Chiropractic Providers |
| Street Address |
1583 MAIN DR |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72704-5214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114907854 | Blair B Masters | Chiropractor | 1583 Main Dr, Fayetteville, AR 72704-5214 | 2006-01-19 |
| 1962969725 | Be Healthy Medical Services, LLC | Clinic/Center | 1583 Main Dr, Fayetteville, AR 72704-5214 | 2019-02-27 |
| 1851871875 | Andrew Miller | Nurse Practitioner | 1583 Main Dr, Fayetteville, AR 72704-5214 | 2018-08-20 |
| 1992197180 | Brock Johnson | Chiropractor | 1583 Main Dr, Fayetteville, AR 72704-5214 | 2015-02-24 |
| 1588850580 | Andrea Elaine Williams | Chiropractor | 1583 Main Dr, Fayetteville, AR 72704-5214 | 2007-09-24 |
| 1336288414 | Mitchell L Gibson | Chiropractor | 1583 Main Dr, Fayetteville, AR 72704-5214 | 2007-02-06 |
| 1457423766 | Arkansas Physical Health & Rehab | Chiropractor | 1583 Main Dr, Fayetteville, AR 72704-5214 | 2006-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598387037 | Anne-ashley Hull | Speech-Language Pathologist | 12905 Randolph Road, Fayetteville, AR 72704 | 2020-05-07 |
| 1427607019 | Destiny Bound, LLC | Midwife | 3825 N Salem Road, Fayetteville, AR 72704 | 2019-09-06 |
| 1043796881 | Travis Alexander | Physical Therapist | 3399 Black Forest Dr Ste 3, Fayetteville, AR 72704 | 2018-07-16 |
| 1104319433 | Rise Physical Therapy Pa | Clinic/Center | 3484 W Wedington Dr Ste 4, Fayetteville, AR 72704 | 2018-06-12 |
| 1346744232 | Wedington Dental, Pllc | Clinic/Center | 3500 Black Forest Drvie, Ste 1, Fayetteville, AR 72704 | 2018-03-23 |
| 1528410487 | Sharon Byrd | Licensed Practical Nurse | 17836 Harmon Rd, Fayetteville, AR 72704 | 2016-07-05 |
| 1861823502 | Andrea Warren | Pharmacist | 2875 W Martin Luther King Jr Blvd, Fayetteville, AR 72704 | 2013-12-05 |
| 1609157726 | Jessica Rose Collier | Speech-Language Pathologist | 2020 E Joyce Ave., Suite 2, Fayetteville, AR 72704 | 2011-09-02 |
| 1194044941 | Wcnc, Inc. | Skilled Nursing Facility | 4405 Persimmon Street, Fayetteville, AR 72704 | 2010-05-19 |
| 1841512944 | Jill K Johnston | Speech-Language Pathologist | 3472 N Sandpiper Dr, Fayetteville, AR 72704 | 2010-02-17 |
| Find all providers in zip 72704 | ||||
| Taxonomy Code | 111NR0400X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Rehabilitation |
| Rehabilitation is the discipline focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational activities that an individual participates in. Relevant impairments (e.g. strength, endurance, flexibility, motor control, etc.) are often intermediate goals of rehabilitation, but the final goal of successful care is return to participation in activities in which the patient was successful before the onset of the injury or disease. Essential to a rehabilitation approach is a focus on patient-centered outcomes such as independence and self-management or self-care skills. |
| Notes: Source: The American Chiropractic Association (ACA) and the ACA Council on Physiological Therapeutics [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295943967 | Complete Back and Body Care, Inc. | Chiropractor | 1260 Highway 85 N, Fayetteville, GA 30214-7315 | 2007-05-18 |
| 1154811412 | Johnson Chiropractic Center, LLC | Chiropractor | 2630 E Citizens Dr Ste 6, Fayetteville, AR 72703-4797 | 2018-05-12 |
| 1861550048 | Ozark Spinal Associates, Pllc | Chiropractor | 2744 E Millennium Pl, Suite 1, Fayetteville, AR 72703-4798 | 2006-12-04 |
| 1699845248 | Daniel J Culliton Dc PC | Chiropractor | 3706 Morganton Rd, Fayetteville, NC 28303-4963 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730691072 | Integrated Health Management Services, Inc | Chiropractor | 920 Harrison St Ste A, Batesville, AR 72501-6949 | 2017-10-26 |
| 1639517089 | Patrick Shaun Barry | Chiropractor | 1703 Forest Hills Blvd, Bella Vista, AR 72715-2340 | 2013-06-07 |
| 1043716459 | Jacob Goldberg | Chiropractor | 920 Harrison St Ste A, Batesville, AR 72501-6949 | 2018-04-04 |
| 1861893992 | Pain Relief Chiropractic | Chiropractor | 9601 Baptist Health Dr, Medical Tower 1, Suite 930, Little Rock, AR 72205-6321 | 2014-09-08 |
| 1841608205 | Christopher Burton | Chiropractor | 9601 Baptist Health Dr, Suite 930, Medical Tower 1, Little Rock, AR 72205-6321 | 2014-07-30 |
| 1801237169 | Adjust for Vitality Chiropractic & Acupuncture | Chiropractor | 1703 Forest Hills Blvd, Bella Vista, AR 72715-2340 | 2013-07-15 |
| 1235465865 | Chad Aaron Dawson | Chiropractor | 593 Horsebarn Rd, Suite 101, Rogers, AR 72758-8795 | 2009-11-02 |
| 1225241391 | Absolute Chiropractic | Chiropractor | 3917 Rogers Ave, Fort Smith, AR 72903-3047 | 2007-05-07 |
| City | FAYETTEVILLE |
| Zip Code | 72704 |
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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.