Modern Medical Solutions of Arkansas LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

MODERN MEDICAL SOLUTIONS OF ARKANSAS LLC

Practice address

500 S University Ave Ste A23
Little Rock, AR 72205-5346

Phone

(501) 280-0250

Fax

(501) 280-0260

NPI assigned

Feb 13, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Kendall Wilson, DCNPI 1730192162

Title

Owner

Phone

(501) 280-0250

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kendall Levell Wilson, DC

  • Chiropractor
  • Little Rock, AR
  • NPI 1730192162
  NPD Authorized official

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

{
    "created_epoch": "1613174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613174400000",
    "number": "1669065306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S UNIVERSITY AVE STE A23",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055346",
            "telephone_number": "501-280-0250",
            "fax_number": "501-280-0260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S UNIVERSITY AVE STE A23",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055346",
            "telephone_number": "501-280-0250",
            "fax_number": "501-280-0260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN MEDICAL SOLUTIONS OF ARKANSAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-13",
        "last_updated": "2021-02-13",
        "certification_date": "2021-02-13",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "KENDALL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-280-0250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mobilecare Vision PLLC
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• Renita Paige Mobley, RD, CSP, LD
• Christopher K Mocek, MD
• Donald Mock, MD
• Mahagony Modest
• Pooja Modi
• Anne Moellers
• Angie Moench, RT
• Kelly Moffett Place, LPC

• Nurse Practitioner in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2021; 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.