Active NPI
Advanced O&P Techniques
- Clinic/Center
- Pine Bluff, AR
National Provider Identifier
1538286554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- ADVANCED O&P TECHNIQUES
- Practice address
- 2425 W 28TH Ave
Pine Bluff, AR 71603-5051 - Phone
- (870) 534-1900
- Fax
- (870) 534-3187
- NPI assigned
- Mar 23, 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
- Mr. Havis Kent Rhinehart, CP, BOC, C.PED., FAA
- Title
- President
- Phone
- (870) 534-1900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
2425 W 28TH Ave
Pine Bluff, AR 71603-5051
Mailing address
2425 W 28TH Ave
Pine Bluff, AR 71603-5051
Phone (870) 534-1900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 49568 | Other | AR | BCBS |
National Provider Directory
National Provider DirectoryLocations
705 Donaghey Ave
Conway, AR 72034
Phone (501) 548-6288
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Clinic/Center
- Conway, AR
- NPI 1043455256
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1194912000000",
"number": "1538286554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2425 W 28TH AVE",
"city": "PINE BLUFF",
"state": "AR",
"postal_code": "716035051",
"telephone_number": "870-534-1900",
"fax_number": "870-534-3187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2425 W 28TH AVE",
"city": "PINE BLUFF",
"state": "AR",
"postal_code": "716035051",
"telephone_number": "870-534-1900",
"fax_number": "870-534-3187"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED O&P TECHNIQUES",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-23",
"last_updated": "2007-11-13",
"status": "A",
"authorized_official_last_name": "RHINEHART",
"authorized_official_first_name": "HAVIS",
"authorized_official_middle_name": "KENT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "870-534-1900",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CP, BOC, C.PED., FAA"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "49568",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pine Bluff, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.