NPIMap

Organization Active NPI

Arkansas Foot Clinic, PA

  • Podiatrist
  • Little Rock, AR
National Provider Identifier
1306816137
Registry record updated Jan 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
ARKANSAS FOOT CLINIC, PA
Practice address
1501 Aldersgate Rd
Little Rock, AR 72205-6611
Phone
(501) 224-1501
Fax
(501) 376-7065
NPI assigned
Jan 24, 2006
Last updated
Jan 4, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2019

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

Authorized official

Name
Dr. Allan G Gold, DPMNPI 1417068255
Title
Owner
Phone
(501) 224-1501

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X AR Primary
Durable Medical Equipment & Medical Supplies 332B00000X AR

Addresses

Primary practice location

1501 Aldersgate Rd
Little Rock, AR 72205-6611

Mailing address

PO Box 26508
Little Rock, AR 72221-6501
Phone (501) 224-1501

Other identifiers 7

IdentifierTypeStateIssuer
57258OtherARBCBS FEP
57258OtherARBLUE ADVANTAGE
CD4794OtherRR MEDICARE
57258OtherARHEALTH ADVANTAGE
57258OtherARFIRST SOURCE PPO
119019748MedicaidAR
57258OtherARAR BLUE CROSS

National Provider Directory

National Provider Directory

Locations

301 N 1st St
Ste D
Jacksonville, AR 72076

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": "1138060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546560000000",
    "number": "1306816137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26508",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722216501",
            "telephone_number": "501-224-1501",
            "fax_number": "501-376-7065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 ALDERSGATE RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056611",
            "telephone_number": "501-224-1501",
            "fax_number": "501-376-7065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS FOOT CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-24",
        "last_updated": "2019-01-04",
        "status": "A",
        "authorized_official_last_name": "GOLD",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-224-1501",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AR",
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AR",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FEP",
            "identifier": "57258",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE ADVANTAGE",
            "identifier": "57258",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CD4794",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ADVANTAGE",
            "identifier": "57258",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST SOURCE PPO",
            "identifier": "57258",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119019748",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR BLUE CROSS",
            "identifier": "57258",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in 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 4, 2019; 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.