Organization Active NPI

Northwest Arkansas Breast Care Specialists, LTD.

  • Surgery Physician
  • Rogers, AR
National Provider Identifier
1164846887
Registry record updated Mar 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
E-8334 Issued in AR
Legal business name
NORTHWEST ARKANSAS BREAST CARE SPECIALISTS, LTD.
Practice address
701 S Horsebarn Rd
Suite 100
Rogers, AR 72758-8737
Phone
(479) 202-2820
NPI assigned
Feb 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2014

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

Authorized official

Name
Dr. Christopher Antonio Menendez, M.D.NPI 1881894673
Title
President
Phone
(972) 971-4630

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
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X E-8334 AR Primary

Addresses

Primary practice location

701 S Horsebarn Rd
Suite 100
Rogers, AR 72758-8737

Mailing address

1317 Topping Rd
Saint Louis, MO 63131-1421
Phone (972) 971-4620

National Provider Directory

National Provider Directory

Locations

701 S Horsebarn Rd
Ste 100
Rogers, AR 72758
Phone (479) 202-2820

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": "1392595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393718400000",
    "number": "1164846887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 TOPPING RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631311421",
            "telephone_number": "972-971-4620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 S HORSEBARN RD",
            "address_2": "SUITE 100",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588737",
            "telephone_number": "479-202-2820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST ARKANSAS BREAST CARE SPECIALISTS, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-17",
        "last_updated": "2014-03-02",
        "status": "A",
        "authorized_official_last_name": "MENENDEZ",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-971-4630",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "AR",
            "license": "E-8334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2014; 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.