NPIMap

Organization Active NPI

Central Arkansas Pediatric Clinic

  • Legal Medicine
  • Benton, AR
National Provider Identifier
1124057088
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
Legal business name
CENTRAL ARKANSAS PEDIATRIC CLINIC
Practice address
2301 Springhill Rd Ste 200
Benton, AR 72015-7552
Phone
(501) 847-2500
Fax
(501) 943-3016
NPI assigned
Jul 2, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Cheryl Arnold
Title
Ceo
Phone
(501) 847-2500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X NU Primary

Addresses

Primary practice location

2301 Springhill Rd Ste 200
Benton, AR 72015-7552

Mailing address

2301 Springhill Rd Ste 200
Benton, AR 72015-7552
Phone (501) 847-2500

National Provider Directory

National Provider Directory

Locations

2301 Springhill Rd
Ste 200
Bryant, AR 72019
Phone (501) 315-0078

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124057088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 SPRINGHILL RD STE 200",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720157552",
            "telephone_number": "501-847-2500",
            "fax_number": "501-943-3016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 SPRINGHILL RD STE 200",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720157552",
            "telephone_number": "501-847-2500",
            "fax_number": "501-943-3016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL ARKANSAS PEDIATRIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ARNOLD",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "501-847-2500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benton, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.