Organization Active NPI

Arkansas Otolaryngology Center-Audiology

  • Audiologist
  • Little Rock, AR
National Provider Identifier
1730333956
Registry record updated Nov 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
ARKANSAS OTOLARYNGOLOGY CENTER-AUDIOLOGY
Practice address
10201 Kanis Rd
Little Rock, AR 72205-6203
Phone
(501) 227-3800
Fax
(501) 907-9750
NPI assigned
Nov 14, 2008
Last updated
Nov 21, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
ARKANSAS OTOLARYNGOLOGY CENTER, P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 21, 2008

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

Authorized official

Name
Mrs. Delaine Martin
Title
Office Manager
Phone
(501) 227-5050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X NU Primary

Addresses

Primary practice location

10201 Kanis Rd
Little Rock, AR 72205-6203

Mailing address

10201 Kanis Rd
Little Rock, AR 72205-6203
Phone (501) 227-3800

Other identifiers 1

IdentifierTypeStateIssuer
104325720MedicaidAR

National Provider Directory

National Provider Directory
Part of
Arkansas Otolaryngology Center-Audiology

NPI Registry JSON

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

{
    "created_epoch": "1226620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227225600000",
    "number": "1730333956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10201 KANIS RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056203",
            "telephone_number": "501-227-3800",
            "fax_number": "501-907-9750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10201 KANIS RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056203",
            "telephone_number": "501-227-3800",
            "fax_number": "501-907-9750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS OTOLARYNGOLOGY CENTER-AUDIOLOGY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARKANSAS OTOLARYNGOLOGY CENTER, P.A.",
        "enumeration_date": "2008-11-14",
        "last_updated": "2008-11-21",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "DELAINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "501-227-5050",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104325720",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2008; 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.