NPIMap

Organization Active NPI

Tonymon Neuro Spine Clinic, PLLC

  • Neurological Surgery Physician
  • Bentonville, AR
National Provider Identifier
1396483673
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
TONYMON NEURO SPINE CLINIC, PLLC
Practice address
2900 Medical Center Pkwy Ste 220
Bentonville, AR 72712-3213
Phone
(479) 696-0996
NPI assigned
May 25, 2022
Last updated
May 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2022

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

Authorized official

Name
Dr. Kenneth Tonymon, MDNPI 1164472072
Title
Principal
Phone
(870) 926-5010

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)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X NU Primary

Addresses

Primary practice location

2900 Medical Center Pkwy Ste 220
Bentonville, AR 72712-3213

Mailing address

PO Box 8490
Fayetteville, AR 72703-0009
Phone (870) 926-5010

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26681/brand/1/csg/1/fhir/r4

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": "1653436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653436800000",
    "number": "1396483673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8490",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727030009",
            "telephone_number": "870-926-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 MEDICAL CENTER PKWY STE 220",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727123213",
            "telephone_number": "479-696-0996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TONYMON NEURO SPINE CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-25",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A",
        "authorized_official_last_name": "TONYMON",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "870-926-5010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bentonville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.