Peyton Upchurch

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Practice address

2801 Old Greenwood Rd Ste 11
Fort Smith, AR 72903-4560

Phone

(918) 649-8023

NPI assigned

Dec 5, 2022

Last updated

Dec 5, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1255041984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 OLD GREENWOOD RD STE 11",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729034560",
            "telephone_number": "918-649-8023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 OLD GREENWOOD RD STE 11",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729034560",
            "telephone_number": "918-649-8023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UPCHURCH",
        "first_name": "PEYTON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-05",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@33supply.net",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email messaging",
            "address_1": "2801 Old Greenwood Rd Ste 11",
            "city": "Fort Smith",
            "state": "AR",
            "country_code": "US",
            "postal_code": "729034560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• University of Arkansas for Medical Sciences
• University of Arkansas for Medical Sciences (Childrens UIniversity Medical Group)
• University of Arkansas for Medical Sciences (AHEC Family Medical Center)
• University of Arkansas for Medical Sciences
• Upchurch Holdings (Life Therapeutic)
• Urologic Specialists of Oklahoma Inc (Urologic Specialists of Arkansas, P.A.)
• Urology Group of Western Arkansas
• Muhammad Usman, M.D.
• Denise Valentin, R.N.P.
• Luis Ernsto Valle

• Durable Medical Equipment & Medical Supplies in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Durable Medical Equipment & Medical Supplies in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; 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.