Active NPI
Vitality Plus Urology, LLC
- Non-Pharmacy Dispensing Site
- Mountain Home, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-Pharmacy Dispensing Site
- Legal business name
- VITALITY PLUS UROLOGY, LLC
- Practice address
- 140 Highway 201 N
Mountain Home, AR 72653-3158 - Phone
- (870) 232-5215
- Fax
- (870) 232-5240
- NPI assigned
- Dec 22, 2023
- Last updated
- Dec 22, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Daniel B Decker, MD
- Title
- MD/Owner
- Phone
- (870) 232-5215
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-Pharmacy Dispensing Site | 332900000X | Primary |
Addresses
Primary practice location
140 Highway 201 N
Mountain Home, AR 72653-3158
Mailing address
140 Highway 201 N
Mountain Home, AR 72653-3158
Phone (870) 232-5215
National Provider Directory
National Provider Directory- Tax ID family
- Vitality Plus Urology
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Urology Physician
- Mountain Home, AR
- NPI 1790484194
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GJFADD
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.
-
- Urology Physician
- Mountain Home, AR
- NPI 1205039807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1703203200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1703203200000",
"number": "1194594887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 HIGHWAY 201 N",
"city": "MOUNTAIN HOME",
"state": "AR",
"postal_code": "726533158",
"telephone_number": "870-232-5215",
"fax_number": "870-232-5240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 HIGHWAY 201 N",
"city": "MOUNTAIN HOME",
"state": "AR",
"postal_code": "726533158",
"telephone_number": "870-232-5215",
"fax_number": "870-232-5240"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VITALITY PLUS UROLOGY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-22",
"last_updated": "2023-12-22",
"certification_date": "2023-12-22",
"status": "A",
"authorized_official_last_name": "DECKER",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "MD/OWNER",
"authorized_official_telephone_number": "870-232-5215",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "332900000X",
"taxonomy_group": "",
"desc": "Non-Pharmacy Dispensing Site",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mountain Home, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.