NPIMap

Organization Active NPI

Central Arkansas Family Practice

  • Family Medicine Physician
  • Bryant, AR
National Provider Identifier
1073974333
Registry record updated Mar 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CENTRAL ARKANSAS FAMILY PRACTICE
Practice address
2301 Springhill Rd
Bryant, AR 72019-7568
Phone
(501) 776-6252
Fax
(501) 776-6271
NPI assigned
Mar 15, 2016
Organization subpart
Yes
Parent organization
SALINE PHYSICIAN SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 15, 2016

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

Authorized official

Name
Mrs. Anna Kipp
Title
Director of Physician Services
Phone
(501) 776-6093

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2301 Springhill Rd
Bryant, AR 72019-7568

Mailing address

2301 Springhill Rd
Bryant, AR 72019-7568
Phone (501) 776-6252

National Provider Directory

National Provider Directory
Tax ID family
Central Arkansas Spine Specialist6 organizations share this tax ID, including this one
Part of
Central Arkansas Spine Specialist

Other organizations with this tax ID 5

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22496/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1458000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458000000000",
    "number": "1073974333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 SPRINGHILL RD",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720197568",
            "telephone_number": "501-776-6252",
            "fax_number": "501-776-6271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 SPRINGHILL RD",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720197568",
            "telephone_number": "501-776-6252",
            "fax_number": "501-776-6271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL ARKANSAS FAMILY PRACTICE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SALINE PHYSICIAN SERVICES",
        "enumeration_date": "2016-03-15",
        "last_updated": "2016-03-15",
        "status": "A",
        "authorized_official_last_name": "KIPP",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "DIRECTOR OF PHYSICIAN SERVICES",
        "authorized_official_telephone_number": "501-776-6093",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryant, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; 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.