Organization Active NPI

Chenal Family Practice

  • Medical Specialty Clinic/Center
  • Little Rock, AR
National Provider Identifier
1013066513
Registry record updated Nov 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
1398 Issued in AR
Legal business name
CHENAL FAMILY PRACTICE
Practice address
11215 Hermitage Rd
Ste 103
Little Rock, AR 72211-3863
Phone
(501) 219-1929
Fax
(501) 219-0021
NPI assigned
Jan 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2010

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

Authorized official

Name
Dr. Robert Bruce Kennedy, MD
Title
Doctor
Phone
(501) 219-1929

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 1398 AR Primary

Addresses

Primary practice location

11215 Hermitage Rd
Ste 103
Little Rock, AR 72211-3863

Mailing address

11215 Hermitage Rd
Ste 103
Little Rock, AR 72211-3863
Phone (501) 219-1929

National Provider Directory

National Provider Directory

Locations

11215 Hermitage Rd
Ste 103
Little Rock, AR 72211
Phone (501) 219-1929

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288742400000",
    "number": "1013066513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11215 HERMITAGE RD",
            "address_2": "STE 103",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113863",
            "telephone_number": "501-219-1929",
            "fax_number": "501-219-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11215 HERMITAGE RD",
            "address_2": "STE 103",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113863",
            "telephone_number": "501-219-1929",
            "fax_number": "501-219-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHENAL FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2010-11-03",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "501-219-1929",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "AR",
            "license": "1398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2010; 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.