Organization Active NPI

Forest Park Medical and Chiropractic Clinic

  • Ambulatory Family Planning Facility
  • Little Rock, AR
National Provider Identifier
1124034947
Registry record updated Mar 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Family Planning FacilityTaxonomy code 261QA0005X
License
C3397 Issued in AR
Legal business name
FOREST PARK MEDICAL AND CHIROPRACTIC CLINIC
Practice address
1119 S Van Buren St
Little Rock, AR 72204-1847
Phone
(501) 661-1303
Fax
(501) 661-1323
NPI assigned
Aug 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2008

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

Authorized official

Name
Dr. Jon Harrol Dodson, M.D.
Title
President
Phone
(501) 661-1303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Family Planning Facility 261QA0005X C3397 AR Primary

Addresses

Primary practice location

1119 S Van Buren St
Little Rock, AR 72204-1847

Mailing address

1119 S Van Buren St
Little Rock, AR 72204-1847
Phone (501) 661-1303

National Provider Directory

National Provider Directory

Locations

1119 S Van Buren St
Little Rock, AR 72204
Phone (501) 661-1303

Practitioners & affiliated clinicians

Practitioners 1

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": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1124034947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 S VAN BUREN ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722041847",
            "telephone_number": "501-661-1303",
            "fax_number": "501-661-1323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 S VAN BUREN ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722041847",
            "telephone_number": "501-661-1303",
            "fax_number": "501-661-1323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST PARK MEDICAL AND CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "DODSON",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "HARROL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-661-1303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": "AR",
            "license": "C3397",
            "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 Mar 27, 2008; 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.