Pea Ridge School District

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

PEA RIDGE SCHOOL DISTRICT

Practice address

781 W Pickens Rd
Pea Ridge, AR 72751-2519

Phone

(479) 451-8181

NPI assigned

Jan 11, 2007

Organization subpart

No

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

Authorized official

Name

Mike Van Dyke

Title

Superintendent

Phone

(479) 451-8181

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Amanda Mychale Coco

  • Speech-Language Pathologist
  • Pea Ridge, AR
  • NPI 1386891307
  NPD (past)

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196899200000",
    "number": "1013067065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "781 W PICKENS RD",
            "city": "PEA RIDGE",
            "state": "AR",
            "postal_code": "727512519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "781 W PICKENS RD",
            "city": "PEA RIDGE",
            "state": "AR",
            "postal_code": "727512519",
            "telephone_number": "479-451-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEA RIDGE SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-12-06",
        "status": "A",
        "authorized_official_last_name": "VAN DYKE",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "479-451-8181"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Overbay, SLP
• Ozark Eye, PLLC
• Delilah Mae Parker, D.C.
• Pea Ridge Family & Cosmetic Dentistry by Wisener, Cooper, & Fergus
• Pea Ridge Family Dentistry, PLLC
• Pea Ridge Urgent Care Clinic
• Peronia Physical Therapy
• Alex Pistorius, DDS
• Courtney Elizabeth Powell, M.S., CF-SLP
• Marc Pratley

• All providers in Pea Ridge, AR
• Local Education Agency (LEA) in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; 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.