Kidz Choice Conway LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KIDZ CHOICE CONWAY LLC

Practice address

2415 Prince St
Suite 105
Conway, AR 72034-3746

Phone

(501) 327-6453

Fax

(501) 327-0242

NPI assigned

Oct 14, 2013

Organization subpart

No

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

Authorized official

Name

Erin Cupan

Title

Practice Administrator

Phone

(501) 327-6453

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1381708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381708800000",
    "number": "1669800421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 PRINCE ST",
            "address_2": "SUITE 105",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720343746",
            "telephone_number": "501-327-6453",
            "fax_number": "501-327-0242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 PRINCE ST",
            "address_2": "SUITE 105",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720343746",
            "telephone_number": "501-327-6453",
            "fax_number": "501-327-0242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDZ CHOICE CONWAY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-14",
        "last_updated": "2013-10-14",
        "status": "A",
        "authorized_official_last_name": "CUPAN",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "501-327-6453"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kickstart Pediatric Therapy LLC
• Kid Success, Inc.
• Amanda Jean Kidd
• Ellie Nicole Kidd, OT
• Kids ABA Services
• Kidz Choice Dental PA
• Chris J Killingsworth, M.D.
• Anita Marie Killins, DPT
• Yong Jun Kim, ATC, LAT
• Sherry Kimbrell

• General Practice Dentistry in Conway, AR
• Providers in Conway, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2013; 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.