Organization Active NPI

Bean Tots and Toddlers

  • Exclusive Provider Organization
  • Jonesboro, AR
National Provider Identifier
1720414451
Registry record updated Sep 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
Legal business name
BEAN TOTS AND TODDLERS
Practice address
1220 Stone St
Jonesboro, AR 72401-4519
Phone
(870) 933-1989
Fax
(870) 268-6705
NPI assigned
Sep 26, 2013
Last updated
Sep 26, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2013

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

Authorized official

Name
Patrick Bean
Title
Owner
Phone
(870) 933-1989

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X Primary

Addresses

Primary practice location

1220 Stone St
Jonesboro, AR 72401-4519

Mailing address

1220 Stone St
Jonesboro, AR 72401-4519
Phone (870) 933-1989

Other identifiers 1

IdentifierTypeStateIssuer
0000MedicaidAR

National Provider Directory

National Provider Directory
Tax ID family
Bean Tots and Toddlers2 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.

NPI Registry JSON

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

{
    "created_epoch": "1380153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380153600000",
    "number": "1720414451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 STONE ST",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014519",
            "telephone_number": "870-933-1989",
            "fax_number": "870-268-6705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 STONE ST",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014519",
            "telephone_number": "870-933-1989",
            "fax_number": "870-268-6705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAN TOTS AND TODDLERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-26",
        "last_updated": "2013-09-26",
        "status": "A",
        "authorized_official_last_name": "BEAN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-933-1989"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; 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.