Active NPI
That Certain Look, Inc.
- Prosthetic/Orthotic Supplier
- Judsonia, AR
National Provider Identifier
1326370990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- THAT CERTAIN LOOK, INC.
- Practice address
- 300 Van Buren St
Judsonia, AR 72081-8006 - Phone
- (501) 729-5490
- Fax
- (501) 729-1511
- NPI assigned
- Feb 8, 2010
- 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
- Mrs. Anita Lynn James, CFM
- Title
- Cao
- Phone
- (501) 729-5490
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
300 Van Buren St
Judsonia, AR 72081-8006
Mailing address
PO Box 297
Judsonia, AR 72081-0297
Phone (501) 729-5490
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930068749 | AR | DME Supplier - Medical Supply Company With Prosthetic Personnel | 2860682549 | Practice locations: Judsonia, AR |
National Provider Directory
National Provider DirectoryLocations
300 Van Buren St
Judsonia, AR 72081
Phone (501) 729-5490
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265587200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750032000000",
"number": "1326370990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 297",
"city": "JUDSONIA",
"state": "AR",
"postal_code": "720810297",
"telephone_number": "501-729-5490",
"fax_number": "501-729-1511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 VAN BUREN ST",
"city": "JUDSONIA",
"state": "AR",
"postal_code": "720818006",
"telephone_number": "501-729-5490",
"fax_number": "501-729-1511"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THAT CERTAIN LOOK, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-08",
"last_updated": "2025-06-16",
"certification_date": "2025-06-16",
"status": "A",
"authorized_official_last_name": "JAMES",
"authorized_official_first_name": "ANITA",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "CAO",
"authorized_official_telephone_number": "501-729-5490",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "CFM"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Judsonia, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.