Organization Active NPI

Arkansas Health PLLC

Doing business as Advanced Interventions Lab

  • Orthopaedic Surgery of the Spine Physician
  • Maumelle, AR
National Provider Identifier
1548068364
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
Legal business name
ARKANSAS HEALTH PLLC
Doing business as
Advanced Interventions Lab
Ark Health
Brain Injury Medicine1 more in Other names
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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)CodeLicenseStatePrimary
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 Doing business as
  • Ark Health Doing business as
  • Brain Injury Medicine Doing business as
  • Spine & Joint Clinics Doing business as

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.