NPIMap

Organization Active NPI

Kids for the Future, Inc.

  • Early Intervention Provider Agency
  • Parkin, AR
National Provider Identifier
1003041526
Registry record updated May 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
23984 Issued in AR
Legal business name
KIDS FOR THE FUTURE, INC.
Practice address
206 Lake Street
Parkin, AR 72373-0252
Phone
(870) 755-2737
Fax
(870) 755-2740
NPI assigned
May 28, 2009
Last updated
May 28, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Tom Heisler, PHD
Title
Ceo
Phone
(870) 755-2737

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 23984 AR Primary
Behavior Analyst 103K00000X 23984 AR

Addresses

Primary practice location

206 Lake Street
Parkin, AR 72373-0252

Mailing address

206 Lake Street
Parkin, AR 72373-0252
Phone (870) 755-2737

Other identifiers 1

IdentifierTypeStateIssuer
176147526MedicaidAR

National Provider Directory

National Provider Directory
Tax ID family
Kids for the Future3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1243468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243468800000",
    "number": "1003041526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 LAKE STREET",
            "city": "PARKIN",
            "state": "AR",
            "postal_code": "723730252",
            "telephone_number": "870-755-2737",
            "fax_number": "870-755-2740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 LAKE STREET",
            "city": "PARKIN",
            "state": "AR",
            "postal_code": "723730252",
            "telephone_number": "870-755-2737",
            "fax_number": "870-755-2740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS FOR THE FUTURE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-28",
        "last_updated": "2009-05-28",
        "status": "A",
        "authorized_official_last_name": "HEISLER",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "870-755-2737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "AR",
            "license": "23984",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AR",
            "license": "23984",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176147526",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkin, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.