Organization Active NPI

Arkansas Open MRI

Doing business as Northside Open MRI

  • Diagnostic Radiology Physician
  • North Little Rock, AR
National Provider Identifier
1720084429
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
ARKANSAS OPEN MRI
Doing business as
Northside Open MRI
Practice address
2929 Lakewood Village Dr
North Little Rock, AR 72116-8033
Phone
(501) 687-6736
Fax
(501) 687-0219
NPI assigned
Jun 27, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Don Ballard
Title
Ceo
Phone
(303) 252-4363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

2929 Lakewood Village Dr
North Little Rock, AR 72116-8033

Mailing address

301 N Shackleford Rd
Ste B4
Little Rock, AR 72211-2882
Phone (501) 312-9990

Other identifiers 2

IdentifierTypeStateIssuer
CJ6884OtherARRAILROAD MEDICARE
5C583OtherARBLUE CROSS/BLUE SHIELD

Other names 1

  • NORTHSIDE OPEN MRI Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720084429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N SHACKLEFORD RD",
            "address_2": "STE B4",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722112882",
            "telephone_number": "501-312-9990",
            "fax_number": "501-312-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 LAKEWOOD VILLAGE DR",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721168033",
            "telephone_number": "501-687-6736",
            "fax_number": "501-687-0219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS OPEN MRI",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BALLARD",
        "authorized_official_first_name": "DON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "303-252-4363",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CJ6884",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "5C583",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTHSIDE OPEN MRI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.