Active NPI
Spine Care of Arkansas P.L.L.C
- Specialist
- Little Rock, AR
National Provider Identifier
1508064007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- E2047
- Legal business name
- SPINE CARE OF ARKANSAS P.L.L.C
- Practice address
- 14918 Cantrell Rd
Little Rock, AR 72223-4248 - Phone
- (501) 975-5005
- Fax
- (501) 975-5008
- NPI assigned
- Jul 5, 2007
- 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. Christy Clay
- Title
- Insurace Rep
- Phone
- (501) 975-5005
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | E2047 | AR | Primary |
Addresses
Primary practice location
14918 Cantrell Rd
Little Rock, AR 72223-4248
Mailing address
PO Box 34113
Little Rock, AR 72203-4113
Phone (501) 975-5005
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5C982 | Other | AR | MCR & BCBS PAYOR # |
| 136646001 | Medicaid | AR |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183593600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1278028800000",
"number": "1508064007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34113",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722034113",
"telephone_number": "501-975-5005",
"fax_number": "501-975-5008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14918 CANTRELL RD",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722234248",
"telephone_number": "501-975-5005",
"fax_number": "501-975-5008"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPINE CARE OF ARKANSAS P.L.L.C",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-05",
"last_updated": "2010-07-02",
"status": "A",
"authorized_official_last_name": "CLAY",
"authorized_official_first_name": "CHRISTY",
"authorized_official_title_or_position": "INSURACE REP",
"authorized_official_telephone_number": "501-975-5005",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "AR",
"license": "E2047",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCR & BCBS PAYOR #",
"identifier": "5C982",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "136646001",
"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 Jul 2, 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.