Active NPI
Arkansas Health PLLC
Doing business as Advanced Interventions Lab
- Orthopaedic Surgery of the Spine Physician
- Maumelle, AR
National Provider Identifier
1548068364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- Legal business name
- ARKANSAS HEALTH PLLC
- Doing business as
- Advanced Interventions Lab
Ark Health
Brain Injury Medicine - Practice address
- 201 Commerce Dr
Maumelle, AR 72113-6708 - Phone
- (870) 472-8465
- Fax
- (870) 472-8219
- NPI assigned
- Mar 6, 2025
- Last updated
- Mar 6, 2025
- 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
- Dr. Chandrakanth Boddu, MD
- Title
- Owner/Medical Doctor
- Phone
- (929) 229-8734
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | NU | Primary |
Addresses
Primary practice location
201 Commerce Dr
Maumelle, AR 72113-6708
Mailing address
305 Rock Street
Suite 1409
Little Rock, AR 72202
Other practice location 1
300 Olive St Ste 320
Texarkana, AR 71854-5915
Phone (870) 472-8465
Other names 4
- Advanced Interventions Lab
- Ark Health
- Brain Injury Medicine
- Spine & Joint Clinics
National Provider Directory
National Provider DirectoryLocations
300 Olive St
Ste 320
Texarkana, AR 71854
Phone (870) 472-8465
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741219200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741219200000",
"number": "1548068364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 ROCK STREET",
"address_2": "SUITE 1409",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "72202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 COMMERCE DR",
"city": "MAUMELLE",
"state": "AR",
"postal_code": "721136708",
"telephone_number": "870-472-8465",
"fax_number": "870-472-8219"
}
],
"practiceLocations": [
{
"address_1": "300 Olive St Ste 320",
"address_purpose": "LOCATION",
"city": "Texarkana",
"state": "AR",
"postal_code": "718545915",
"country_code": "US",
"telephone_number": "870-472-8465",
"fax_number": "870-472-8219",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ARKANSAS HEALTH PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-06",
"last_updated": "2025-03-06",
"certification_date": "2025-03-06",
"status": "A",
"authorized_official_last_name": "BODDU",
"authorized_official_first_name": "CHANDRAKANTH",
"authorized_official_title_or_position": "OWNER/MEDICAL DOCTOR",
"authorized_official_telephone_number": "929-229-8734",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Advanced Interventions Lab",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Ark Health",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Brain Injury Medicine",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Spine & Joint Clinics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Maumelle, AR
- Arkansas Asthma & Lung Center Inc
- Arkansas Asthma & Lung Centers Inc
- Arkansas Back Clinic
- Arkansas Health Group (Baptist Health Family Clinic Maumelle)
- Arkansas Health Group (Internal Medicine Associates of North Little Rock)
- Arkansas Reliable Transportation LLC
- David Arnold
- Mary Helen Ashley, M.S. CCC-SLP
- Omar Atassi
- Austin Family Dentistry PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.