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NESTERENKO SPECIFIC CHIROPRACTIC, INC
NPI 1063677268
Chiropractor in Little Rock, AR

Active since July 28, 2008
13601 W MARKHAM ST, LITTLE ROCK, AR 72211(501) 223-5130 Get Directions Write a Review

NPPES record last updated: January 14, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nesterenko Specific Chiropractic, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NESTERENKO SPECIFIC CHIROPRACTIC, INC (NPI 1063677268) is a healthcare organization registered as a chiropractor in Little Rock, Arkansas and active in the NPI registry since July 2008. The organization lists Paul Anthony Nesterenko, Chiropractor/president, as its authorized official.

NPPES Registry Identity

NPI1063677268
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameNESTERENKO SPECIFIC CHIROPRACTIC, INC
Location Address13601 W MARKHAM STLittle Rock, AR 72211-3146
Mailing Address13601 W Markham StLittle Rock, AR 72211-3146 · (501) 223-5130
Phone(501) 223-5130
Organization SubpartNo
Authorized OfficialPaul Anthony NesterenkoChiropractor/president · (501) 223-5130
Enumeration DateJuly 28, 2008
Last NPPES UpdateJanuary 14, 2016
✔ NPI 1063677268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in AR · 1342
Definition
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.
13601 W MARKHAM ST, Little Rock, AR 72211
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Other Identifiers 2

Other5S657AR · Blue Cross Blue Shield
OtherU46723AR · Blue Cross Blue Shield

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nesterenko Specific Chiropractic, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateArkansasEnrollment IDO20080917000729Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Nesterenko Specific Chiropractic, Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Paul Nesterenko, D.C.
Chiropractic
NPI 1992811285
301 N SHACKLEFORD RD STE B3
Little Rock, AR 72211
(501) 223-5130
✔ Accepts Medicare1.8 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nesterenko Specific Chiropractic, Inc's NPI number?

The NPI number for Nesterenko Specific Chiropractic, Inc is 1063677268. It was assigned to this organization in the NPPES registry on July 28, 2008.

Where is Nesterenko Specific Chiropractic, Inc located?

Nesterenko Specific Chiropractic, Inc is located at 13601 W Markham St, Little Rock, AR 72211. The listed phone number is (501) 223-5130.

What is Nesterenko Specific Chiropractic, Inc's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Nesterenko Specific Chiropractic, Inc enrolled in Medicare?

Yes. Nesterenko Specific Chiropractic, Inc is registered in the Medicare PECOS enrollment system.

When is Nesterenko Specific Chiropractic, Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arkansas, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Nesterenko Specific Chiropractic, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Nesterenko Specific Chiropractic, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Nesterenko Specific Chiropractic, Inc was last updated on January 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.