Active NPI
Arkansas Open MRI
Doing business as Northside Open MRI
- Diagnostic Radiology Physician
- North Little Rock, AR
National Provider Identifier
1720084429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CJ6884 | Other | AR | RAILROAD MEDICARE |
| 5C583 | Other | AR | BLUE CROSS/BLUE SHIELD |
Other names 1
- NORTHSIDE OPEN MRI
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Diagnostic Radiology Physician
- Fort Smith, AR
- NPI 1235192493
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
- Arkansas Health Group (Baptist Health Neurology North Little Rock)
- Arkansas Health Group (Baptist Health Palliative Care Clinic North Little Rock)
- Arkansas Hospice, Inc. (LifeTouch Health Hospice Care)
- Arkansas Hospice, Inc. (LifeTouch Health Hospice Care)
- Arkansas Mobility Solutions LLC (101 Mobility)
- Arkansas Outpatient Surgery Center, LLC
- Arkansas Pain Center Physical Therapy
- Arkansas Palliative Care, LLC (LifeTouch Health Palliative Care)
- Arkansas Surgical Hospital, LLC (Arkansas Surgical Hospital Anesthesia Services)
- Arkansas Surgical Hospital, LLC
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.