Organization Active NPI

Crawford Kids Care

  • Preferred Provider Organization
  • Van Buren, AR
National Provider Identifier
1144493529
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
E1002 Issued in AR
Legal business name
CRAWFORD KIDS CARE
Practice address
2925 Alma Hwy Ste C1
Van Buren, AR 72956-5063
Phone
(479) 471-5454
Fax
(479) 471-5473
NPI assigned
Apr 8, 2008
Last updated
Apr 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2008

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

Authorized official

Name
Dr. William Peyton Miller, M.D.NPI 1215974126
Title
Owner
Phone
(479) 471-5454

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X E1002 AR Primary

Addresses

Primary practice location

2925 Alma Hwy Ste C1
Van Buren, AR 72956-5063

Mailing address

2925 Alma Hwy Ste C1
Van Buren, AR 72956-5063
Phone (479) 471-5454

Other identifiers 2

IdentifierTypeStateIssuer
E1002OtherARSTATE LICENSE NO.
F78642OtherARUPIN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1144493529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 ALMA HWY STE C1",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729565063",
            "telephone_number": "479-471-5454",
            "fax_number": "479-471-5473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 ALMA HWY STE C1",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729565063",
            "telephone_number": "479-471-5454",
            "fax_number": "479-471-5473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAWFORD KIDS CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "PEYTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-471-5454",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "AR",
            "license": "E1002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NO.",
            "identifier": "E1002",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "F78642",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Buren, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.