Organization Active NPI

Central Arkansas Spine Specialists

  • Orthopaedic Surgery Physician
  • Benton, AR
National Provider Identifier
1538522347
Registry record updated Mar 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
CENTRAL ARKANSAS SPINE SPECIALISTS
Practice address
5 Medical Park Dr
Ste 308
Benton, AR 72015-3729
Phone
(501) 776-6252
Fax
(501) 776-6271
NPI assigned
Mar 30, 2016
Last updated
Mar 30, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
SALINE PHYSICIAN SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 30, 2016

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

Authorized official

Name
Mrs. Anna Kipp
Title
Director of Physician Services
Phone
(501) 776-6093

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X NU Primary

Addresses

Primary practice location

5 Medical Park Dr
Ste 308
Benton, AR 72015-3729

Mailing address

5 Medical Park Dr
Ste 308
Benton, AR 72015-3729
Phone (501) 776-6252

National Provider Directory

National Provider Directory
Part of
Saline Physician Services

Locations

910 N East St
Benton, AR 72015
Phone (501) 381-2001

3412 Market Place Ave
#A
Bryant, AR 72022
Phone (501) 847-0834

5 Saint Vincent Cir
Ste 400
Little Rock, AR 72205
Phone (501) 776-6252

3127 W 2nd Ct
Ste B
Russellville, AR 72801
Phone (501) 476-3914

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459296000000",
    "number": "1538522347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MEDICAL PARK DR",
            "address_2": "STE 308",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720153729",
            "telephone_number": "501-776-6252",
            "fax_number": "501-776-6271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MEDICAL PARK DR",
            "address_2": "STE 308",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720153729",
            "telephone_number": "501-776-6252",
            "fax_number": "501-776-6271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL ARKANSAS SPINE SPECIALISTS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SALINE PHYSICIAN SERVICES",
        "enumeration_date": "2016-03-30",
        "last_updated": "2016-03-30",
        "status": "A",
        "authorized_official_last_name": "KIPP",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "DIRECTOR OF PHYSICIAN SERVICES",
        "authorized_official_telephone_number": "501-776-6093",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benton, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; 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.