Jubar LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

JUBAR LLC

Doing business as

New Balance Little Rock

Practice address

13900 Cantrell Rd Ste 1
Little Rock, AR 72223-1516

Phone

(501) 224-8877

Fax

(501) 794-1356

NPI assigned

Jun 3, 2008

Last updated

Nov 9, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Bart D Dickinson, C.PED

Title

Owner

Phone

(501) 794-1356

Specialties & licenses 1

Addresses

Other names 1

• New Balance Little Rock Doing business as

Locations

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257724800000",
    "number": "1609035823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19718 INTERSTATE 30",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720198023",
            "telephone_number": "501-794-1356",
            "fax_number": "501-794-1356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13900 CANTRELL RD STE 1",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722231516",
            "telephone_number": "501-224-8877",
            "fax_number": "501-794-1356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUBAR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-03",
        "last_updated": "2009-11-09",
        "status": "A",
        "authorized_official_last_name": "DICKINSON",
        "authorized_official_first_name": "BART",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-794-1356",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.PED"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Balance Little Rock",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Durable Medical Equipment & Medical Supplies in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2009; 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.