CONWAY CHIROPRACTIC CENTER PA (NPI# 1386916773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386916773 |
| Entity Type | Organization |
| Organization Name | CONWAY CHIROPRACTIC CENTER PA |
| Practice Address |
965 Carson Cv Suite A Conway AR 72034-4842 |
| Practice Telephone | 5013368181 |
| Practice Fax Number | 5013368211 |
| Mailing Telephone | 5013368181 |
| Mailing Fax Number | 5013368211 |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2012-02-01 |
| Authorized Official Name | THOMAS STEVEN COOPER (OWNER) |
| Authorized Official Telephone | 5013368181 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1278 | AR | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | PTAN | 5G953 | 01 |
| Street Address |
965 CARSON CV SUITE A |
| City | CONWAY |
| State | AR |
| Zip Code | 72034-4842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487615373 | Thomas Steven Cooper | Chiropractor | 965 Carson Cv, Suite A, Conway, AR 72034-4842 | 2006-03-30 |
| 1780960443 | Conway Chiropractic & Wellness Center | Chiropractor | 965 Carson Cv, Suite A, Conway, AR 72034-4842 | 2011-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013563758 | Shelby M Perez | Case Manager/Care Coordinator | 3240 Stermer Rd, Conway, AR 72034 | 2019-08-16 |
| 1467932772 | Faith J Parfait | Licensed Practical Nurse | 1352 Watkins St, Conway, AR 72034 | 2018-08-16 |
| 1043790611 | David Adam Steinfeld | Nurse Practitioner | 855 S German Ln Ste 1, Conway, AR 72034 | 2018-08-14 |
| 1245728484 | Conway Behavioral Health, LLC | Psychiatry & Neurology | 2255 Sturgis Rd, Conway, AR 72034 | 2018-04-24 |
| 1972007292 | Eldercare of Arkansas IIi, Inc. | Assisted Living Facility | 1306 S. Donaghey, Conway, AR 72034 | 2018-03-21 |
| 1528561404 | Kouhei Kobayashi | Specialist/Technologist | 2201 Moix Blvd., Apt. 908, Conway, AR 72034 | 2018-03-16 |
| 1780191015 | Sydnie Thessing | Nurse Practitioner | 605 Dave Ward Drive #105, Conway, AR 72034 | 2018-01-09 |
| 1508371865 | Ebony Latreace Charleston | Case Manager/Care Coordinator | 3240 Stermer Road, Conway, AR 72034 | 2017-12-08 |
| 1689190647 | Denise Annette Aikman | Dentist | 1210 Hogan Lane, Suite 200, Conway, AR 72034 | 2017-08-21 |
| 1134669138 | Hortons Orthotic Lab, Inc. | Prosthetic/Orthotic Supplier | 635 Dave Ward, Suite 103, Conway, AR 72034 | 2017-02-24 |
| Find all providers in zip 72034 | ||||
| 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 |
|---|---|---|---|---|
| 1932706363 | Kassie Wiest | Chiropractor | 1855 Mckennon St Ste 300, Conway, AR 72032-2840 | 2020-10-08 |
| 1699165340 | Owens Chiropractic Clinic, Inc. | Chiropractor | 560 Harkrider St, Conway, AR 72032-5681 | 2015-02-03 |
| 1437582830 | Megan Nicole Chanhnouvong | Chiropractor | 813 Oak St Ste 12, Conway, AR 72032-4400 | 2013-08-21 |
| 1346582632 | Conway Group, P.l.l.c | Chiropractor | 1600 Dave Ward Dr. Ste. E, Conway, AR 72034 | 2013-03-25 |
| 1861705360 | Tray Robert Fowler | Chiropractor | 2501 Zoysia Ln, Conway, AR 72034-8448 | 2010-07-26 |
| 1811135171 | Josi Brooke Owens | Chiropractor | 515 Oak St, Suite D, Conway, AR 72032 | 2009-01-25 |
| 1265627905 | Mcgehee Chiropractic, P.C. | Chiropractor | 2104 Harkrider St, Suite 104, Conway, AR 72032-2820 | 2007-09-06 |
| 1952503047 | Douglas Springborn | Chiropractor | 3415 Us31 North, Conway, MI 49722 | 2007-06-01 |
| 1659405025 | James Keith Currie | Chiropractor | 1100 Bob Courtway Dr Ste 5, Conway, AR 72032-4767 | 2007-03-15 |
| 1376681775 | Shawn Robert Taylor | Chiropractor | 486 White Mountain Hwy, Suite A, Conway, NH 03818-4215 | 2007-02-01 |
| Find all providers in CONWAY | ||||
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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.