Active NPI
Jonathan Aaron Parker, D.P.T.
- Specialist
- Bryant, AR
National Provider Identifier
1740503085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- PT 3222
- Practice address
- 3231 Main St Ste 3
Bryant, AR 72022-9201 - Phone
- (501) 847-0500
- NPI assigned
- Mar 1, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | PT 3222 | AR | Primary |
Addresses
Primary practice location
3231 Main St Ste 3
Bryant, AR 72022-9201
Mailing address
3231 Main St
Bryant, AR 72022-9188
Phone (501) 847-0500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3222 | AR | MD | General Practice Dentistry |
| PT 3222 | AR | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267401600000",
"number": "1740503085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3231 MAIN ST",
"city": "BRYANT",
"state": "AR",
"postal_code": "720229188",
"telephone_number": "501-847-0500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3231 MAIN ST STE 3",
"city": "BRYANT",
"state": "AR",
"postal_code": "720229201",
"telephone_number": "501-847-0500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "JONATHAN",
"middle_name": "AARON",
"name_prefix": "Dr.",
"credential": "D.P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-03-01",
"last_updated": "2010-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AR",
"license": "PT 3222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bryant, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.