Organization Active NPI

Arkansas Back Institute PA

  • Orthopaedic Surgery of the Spine Physician
  • Conway, AR
National Provider Identifier
1407068562
Registry record updated Jul 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
N-7842 Issued in AR
Legal business name
ARKANSAS BACK INSTITUTE PA
Practice address
2425 Dave Ward Drive
Suite 201
Conway, AR 72034
Phone
(501) 329-7246
Fax
(501) 329-3900
NPI assigned
May 3, 2007
Last updated
Jul 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2008

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

Authorized official

Name
David Michael Arnold, M.D.NPI 1407811169
Title
Medical Director
Phone
(501) 329-7246

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
Orthopaedic Surgery of the Spine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XS0117X N-7842 AR Primary

Addresses

Primary practice location

2425 Dave Ward Drive
Suite 201
Conway, AR 72034

Mailing address

PO Box 10660
Conway, AR 72034-0011
Phone (501) 329-7246

National Provider Directory

National Provider Directory

Locations

2425 Dave Ward Dr
Ste 2
Conway, AR 72034
Phone (501) 329-7246

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": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217203200000",
    "number": "1407068562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10660",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720340011",
            "telephone_number": "501-329-7246",
            "fax_number": "501-329-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 DAVE WARD DRIVE",
            "address_2": "SUITE 201",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "72034",
            "telephone_number": "501-329-7246",
            "fax_number": "501-329-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS BACK INSTITUTE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2008-07-28",
        "status": "A",
        "authorized_official_last_name": "ARNOLD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "501-329-7246",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "AR",
            "license": "N-7842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; 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.