Organization Active NPI

Siebert Mobilty Inc.

Doing business as Arkansas Conversion Center

  • Durable Medical Equipment & Medical Supplies
  • Benton, AR
National Provider Identifier
1679875363
Registry record updated Dec 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
315692-62-001 Issued in AR
Legal business name
SIEBERT MOBILTY INC.
Doing business as
Arkansas Conversion Center
Practice address
712 Hwy 5 N
Benton, AR 72019
Phone
(501) 316-2466
NPI assigned
Dec 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2010

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

Authorized official

Name
Mr. Carlton Finney
Title
Genral Manager
Phone
(501) 316-2466

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 315692-62-001 AR Primary

Addresses

Primary practice location

712 Hwy 5 N
Benton, AR 72019

Mailing address

712 Highway 5 N
Benton, AR 72019-8558
Phone (501) 316-2466

Other identifiers 1

IdentifierTypeStateIssuer
168186784MedicaidAR

Other names 1

  • Arkansas Conversion Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Arkansas Conversion Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

712 Highway 5 N
Benton, AR 72019
Phone (501) 316-2466

NPI Registry JSON

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

{
    "created_epoch": "1291161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291161600000",
    "number": "1679875363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 HIGHWAY 5 N",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720198558",
            "telephone_number": "501-316-2466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 HWY 5 N",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "72019",
            "telephone_number": "501-316-2466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIEBERT MOBILTY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-01",
        "last_updated": "2010-12-01",
        "status": "A",
        "authorized_official_last_name": "FINNEY",
        "authorized_official_first_name": "CARLTON",
        "authorized_official_title_or_position": "GENRAL MANAGER",
        "authorized_official_telephone_number": "501-316-2466",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AR",
            "license": "315692-62-001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "168186784",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arkansas Conversion Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Benton, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; 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.