NPIMap

Organization Active NPI

Natural State Integrative Medicine, P.a.

  • Family Medicine Physician
  • Little Rock, AR
National Provider Identifier
1669938684
Registry record updated Feb 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NATURAL STATE INTEGRATIVE MEDICINE, P.A.
Practice address
12911 Cantrell Rd Ste 4
Little Rock, AR 72223-1710
Phone
(501) 224-1224
Fax
(501) 224-1230
NPI assigned
Feb 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2019

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

Authorized official

Name
Dr. Chad Dawson, D.C.NPI 1235465865
Title
Associate
Phone
(501) 224-1224

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

12911 Cantrell Rd Ste 4
Little Rock, AR 72223-1710

Mailing address

12911 Cantrell Rd Ste 4
Little Rock, AR 72223-1710
Phone (501) 224-1224

National Provider Directory

National Provider Directory

Locations

12911 Cantrell Rd
Ste 4
Little Rock, AR 72223
Phone (501) 224-1224

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1550102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550102400000",
    "number": "1669938684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12911 CANTRELL RD STE 4",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722231710",
            "telephone_number": "501-224-1224",
            "fax_number": "501-224-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12911 CANTRELL RD STE 4",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722231710",
            "telephone_number": "501-224-1224",
            "fax_number": "501-224-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATURAL STATE INTEGRATIVE MEDICINE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-14",
        "last_updated": "2019-02-14",
        "status": "A",
        "authorized_official_last_name": "DAWSON",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "ASSOCIATE",
        "authorized_official_telephone_number": "501-224-1224",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2019; 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.