NPIMap

Organization Active NPI

R Dan Bost OD PA

  • Durable Medical Equipment & Medical Supplies
  • Arkadelphia, AR
National Provider Identifier
1720167992
Registry record updated Nov 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
2306 Issued in AR
Legal business name
R DAN BOST OD PA
Practice address
2733 Caddo St
Arkadelphia, AR 71923-5309
Phone
(870) 246-2932
NPI assigned
Nov 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2010

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

Authorized official

Name
Kelley Bost
Title
Office Manager
Phone
(870) 246-2932

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 2306 AR Primary

Addresses

Primary practice location

2733 Caddo St
Arkadelphia, AR 71923-5309

Mailing address

2733 Caddo St
Arkadelphia, AR 71923-5309

Other names 1

  • Family Eye Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288915200000",
    "number": "1720167992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2733 CADDO ST",
            "city": "ARKADELPHIA",
            "state": "AR",
            "postal_code": "719235309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2733 CADDO ST",
            "city": "ARKADELPHIA",
            "state": "AR",
            "postal_code": "719235309",
            "telephone_number": "870-246-2932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R DAN BOST OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2010-11-05",
        "status": "A",
        "authorized_official_last_name": "BOST",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "870-246-2932"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AR",
            "license": "2306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Eye Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arkadelphia, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.