Provider Demographics
NPI:1457048928
Name:PIKE, JAMES LANDON (DC)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:LANDON
Last Name:PIKE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:232 DELTA DR
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:AR
Mailing Address - Zip Code:72364-2630
Mailing Address - Country:US
Mailing Address - Phone:901-573-4808
Mailing Address - Fax:
Practice Address - Street 1:303 SW 16TH ST STE 7
Practice Address - Street 2:
Practice Address - City:BENTONVILLE
Practice Address - State:AR
Practice Address - Zip Code:72712-7170
Practice Address - Country:US
Practice Address - Phone:479-271-8100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-24
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR16383111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor