Arkansas Prosthetics and Pedorthics, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ARKANSAS PROSTHETICS AND PEDORTHICS, INC

Practice address

119 W Carpenter St
Benton, AR 72015-3317

Phone

(501) 860-6910

Fax

(501) 860-7587

NPI assigned

Feb 23, 2007

Last updated

Sep 30, 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. Paul Edgar Johnston, C.P., C-PEDNPI 1841301843

Title

Owner

Phone

(501) 860-6910

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

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.

• Paul Edgar Johnston, C.P., C-PED

  • Prosthetist
  • Benton, AR
  • NPI 1841301843
  NPD (past) Authorized official

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254268800000",
    "number": "1669507018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 W CARPENTER ST",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720153317",
            "telephone_number": "501-860-6910",
            "fax_number": "501-860-7587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 W CARPENTER ST",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720153317",
            "telephone_number": "501-860-6910",
            "fax_number": "501-860-7587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS PROSTHETICS AND PEDORTHICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2009-09-30",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "EDGAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-860-6910",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.P., C-PED"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156100716",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR BLUECROSS BLUESHIELD",
            "identifier": "49920",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arkansas Emergency Doctors,PLC
• Arkansas Healing Space, PLLC
• Arkansas Health Center
• Arkansas Health Group (Benton Family Clinic)
• Arkansas Mobile Wound Management PLLC
• Arkansas Renal Systems, Inc. (Saline Dialysis Center)
• Arkansas Rural Healthcare Alliance
• Arkansas Therapy Outreach, LLC
• Arkansas Therapy Outreach, LLC
• Arkansas Therapy Source, LLC

• Durable Medical Equipment & Medical Supplies in Benton, AR
• Providers in Benton, 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 Sep 30, 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.