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IMPACT HEALTH
NPI 1417214230
Chiropractor - Sports Physician in Bentonville, AR

Active since April 18, 2012
1401 SE WALTON BLVD, 113, BENTONVILLE, AR 72712(479) 254-3999(479) 254-3998 Get Directions Write a Review

NPPES record last updated: April 18, 2012. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Impact Health NPPES

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

IMPACT HEALTH (NPI 1417214230) is a healthcare organization registered as a sports physician in Bentonville, Arkansas and active in the NPI registry since April 2012. The organization lists Harvey J Roeder, Owner/chiropractor, as its authorized official.

NPPES Registry Identity

NPI1417214230
Entity TypeOrganization
Primary Taxonomy111NS0005X
Legal Business NameIMPACT HEALTH
Location Address1401 SE WALTON BLVD, 113Bentonville, AR 72712-3759
Mailing Address1401 Se Walton Blvd, 113Bentonville, AR 72712-3759 · (479) 254-3999 · Fax (479) 254-3998
Phone(479) 254-3999
Fax(479) 254-3998
Organization SubpartNo
Authorized OfficialHarvey J RoederOwner/chiropractor · (479) 254-3999
Enumeration DateApril 18, 2012
✔ NPI 1417214230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers
Taxonomy Code111NS0005X
License✔ Licensed in AR · 154720
Definition
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.
1401 SE WALTON BLVD, Bentonville, AR 72712
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Impact Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Impact Health, which bills Medicare for the services this clinician delivers.

Clinician (1)

Harvey Roeder, D.C.
Chiropractic
NPI 1710293618
1401 SE WALTON BLVD 113
Bentonville, AR 72712
(479) 254-3999
✔ PECOSSame address

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 Impact Health's NPI number?

The NPI number for Impact Health is 1417214230. It was assigned to this organization in the NPPES registry on April 18, 2012.

Where is Impact Health located?

Impact Health is located at 1401 SE Walton Blvd 113, Bentonville, AR 72712. The listed phone number is (479) 254-3999.

What is Impact Health's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Is Impact Health enrolled in Medicare?

Yes. Impact Health is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Impact Health?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Impact Health. 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 Impact Health was last updated on April 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.