Organization Active NPI

Arkansas Asthma and Lung, Inc LLC

  • Speech-Language Pathologist
  • Little Rock, AR
National Provider Identifier
1497076921
Registry record updated Jun 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
ARKANSAS ASTHMA AND LUNG, INC LLC
Practice address
8625 W Markham St
Suite C
Little Rock, AR 72205-2312
Phone
(501) 223-3889
NPI assigned
Jun 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2010

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

Authorized official

Name
Mr. John Diaz
Title
Ceo
Phone
(501) 565-5701

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

8625 W Markham St
Suite C
Little Rock, AR 72205-2312

Mailing address

4 Barber CT
Maumelle, AR 72113-6491
Phone (501) 565-5701

Other identifiers 1

IdentifierTypeStateIssuer
176713742MedicaidAR

Other names 1

  • Arkansas Comprensive Therapy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Arkansas Asthma Lung Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1276819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276819200000",
    "number": "1497076921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 BARBER CT",
            "city": "MAUMELLE",
            "state": "AR",
            "postal_code": "721136491",
            "telephone_number": "501-565-5701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8625 W MARKHAM ST",
            "address_2": "SUITE C",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722052312",
            "telephone_number": "501-223-3889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS ASTHMA AND LUNG, INC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-18",
        "last_updated": "2010-06-18",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "501-565-5701",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176713742",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arkansas Comprensive Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 18, 2010; 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.