Organization Active NPI

Cavc LLC

  • Ambulatory Surgical Clinic/Center
  • North Little Rock, AR
National Provider Identifier
1295120459
Registry record updated Jan 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
CAVC LLC
Practice address
11771 Maumelle Blvd
North Little Rock, AR 72113-6558
Phone
(501) 321-9803
Fax
(501) 321-0710
NPI assigned
Apr 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2018

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

Authorized official

Name
Jan M Sutton
Title
Administrator
Phone
(501) 663-0490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

11771 Maumelle Blvd
North Little Rock, AR 72113-6558

Mailing address

PO Box 17930
Little Rock, AR 72222-7930
Phone (501) 663-0490

National Provider Directory

National Provider Directory

Locations

11771 Maumelle Blvd
North Little Rock, AR 72113
Phone (501) 204-0302

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": "1428019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515715200000",
    "number": "1295120459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17930",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722227930",
            "telephone_number": "501-663-0490",
            "fax_number": "501-663-2619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11771 MAUMELLE BLVD",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721136558",
            "telephone_number": "501-321-9803",
            "fax_number": "501-321-0710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAVC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-03",
        "last_updated": "2018-01-12",
        "status": "A",
        "authorized_official_last_name": "SUTTON",
        "authorized_official_first_name": "JAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "501-663-0490"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2018; 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.