Organization Active NPI

Nea X-Ray Inc

  • Durable Medical Equipment & Medical Supplies
  • North Little Rock, AR
National Provider Identifier
1033399282
Registry record updated Aug 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
NEA X-RAY INC
Practice address
7665 Counts Massie Rd
North Little Rock, AR 72113-6656
Phone
(501) 224-0330
Fax
(501) 224-0356
NPI assigned
Nov 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2009

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

Authorized official

Name
Mr. Scott Dean Younge
Title
Owner
Phone
(501) 224-0330

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X AR Primary
Prosthetic/Orthotic Supplier 335E00000X AR

Addresses

Primary practice location

7665 Counts Massie Rd
North Little Rock, AR 72113-6656

Mailing address

7665 Counts Massie Rd
North Little Rock, AR 72113-6656
Phone (501) 224-0330

Other identifiers 2

IdentifierTypeStateIssuer
48390OtherARBLUE CROSS BLUE SHIELD
176146716MedicaidAR

Other names 1

  • MEDSOUTH MEDICAL SUPPLY Doing business as

National Provider Directory

National Provider Directory

Locations

7665 Counts Massie Rd
North Little Rock, AR 72113
Phone (501) 224-0330

NPI Registry JSON

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251158400000",
    "number": "1033399282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7665 COUNTS MASSIE RD",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721136656",
            "telephone_number": "501-224-0330",
            "fax_number": "501-224-0356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7665 COUNTS MASSIE RD",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721136656",
            "telephone_number": "501-224-0330",
            "fax_number": "501-224-0356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEA X-RAY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-05",
        "last_updated": "2009-08-25",
        "status": "A",
        "authorized_official_last_name": "YOUNGE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-224-0330",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AR",
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "AR",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "48390",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176146716",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDSOUTH MEDICAL SUPPLY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.