Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1881002103 Deactivated / Inactive NPI Male Practitioner

Dr. Paul Thebeau , DC

Chiropractor • Rogers, AR

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Paul Thebeau has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 30, 2014
NPI Deactivation Date January 18, 2023
Total Practice Duration ~9 Years of Practice (2014 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Paul Thebeau, DC was a registered Chiropractor practicing in Rogers, AR. Throughout an active medical career spanning 9 years, Dr. Thebeau provided care at the practice location at 4408 W WALNUT ST until profile deactivation on 2023-01-18.

Practice Location & Contact Primary Location

Practice Address

4408 W Walnut St
Ste #4

Rogers, AR 727569526

Telephone 4792820004
Fax 4794357650

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Rogers, AR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.6 Yrs
State Avg: 22.5 Yrs
Regional Practice Density
40 Specialists

Practicing in Rogers, AR (730 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License AR 16074

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Susan Black , OTR, L

Occupational Therapist

NPI 1528213451

Occupational Therapist Registered, L

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated January 18, 2023

Record deactivated on January 18, 2023

NPI Profile Active September 26, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location September 26, 2016

Registered at 4408 W WALNUT ST, STE #4, ROGERS, AR 727569526 (Tel: 4792820004)

📍
Updated Business Mailing Address September 26, 2016

Registered at PO BOX 517, ROGERS, AR 727570517 (Tel: 4792820004)

👤
Provider Name / Credentials Updated September 26, 2016

Recorded as PAUL THEBEAU, D.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 26, 2016

Chiropractor (License #16074 in AR)

🟢
Initial NPI Registration & Enumeration July 30, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Paul Thebeau. Be the first to share your experience!

Sign in to leave a review for Dr. Paul Thebeau

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1881002103
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 30, 2014
Last Update: September 26, 2016
Deactivation Date: January 18, 2023

Mailing Address

Po Box 517

Rogers, AR 727570517

Phone: 4792820004

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.