Organization Active NPI

Encore Health, P.a.

  • Clinic/Center
  • North Little Rock, AR
National Provider Identifier
1508108416
Registry record updated Mar 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ENCORE HEALTH, P.A.
Practice address
4617 E McCain Blvd
North Little Rock, AR 72117-2904
Phone
(501) 945-0680
NPI assigned
Mar 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2013

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

Authorized official

Name
Mr. Andy Davis
Title
Clinic Director
Phone
(501) 945-0680

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

4617 E McCain Blvd
North Little Rock, AR 72117-2904

Mailing address

4617 E McCain Blvd
North Little Rock, AR 72117-2904
Phone (501) 945-0680

National Provider Directory

National Provider Directory

Locations

4617 E McCain Blvd
North Little Rock, AR 72117
Phone (501) 945-0680

NPI Registry JSON

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

{
    "created_epoch": "1363651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363651200000",
    "number": "1508108416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4617 E MCCAIN BLVD",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721172904",
            "telephone_number": "501-945-0680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4617 E MCCAIN BLVD",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721172904",
            "telephone_number": "501-945-0680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCORE HEALTH, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-19",
        "last_updated": "2013-03-19",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ANDY",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "501-945-0680",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; 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.