Individual provider Active NPI

Christopher Parham

  • Developmental Disabilities Clinic/Center
  • Trumann, AR
National Provider Identifier
1750159208
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Practice address
528 Industrial Park Access Road
Trumann, AR 72472
NPI assigned
Dec 14, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X Primary

Addresses

Primary practice location

528 Industrial Park Access Road
Trumann, AR 72472

Mailing address

528 Industrial Park Access Road
Trumann, AR 72472
Phone (870) 418-1071

Other practice location 1

528 Industrial Park Access Road
Trumann, AR 72472
Phone (870) 418-1071

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
First Step Arkansas, LLC CurrentSince Dec 17, 2023 Accepting new patients

Locations

528 Industrial Park Dr
Trumann, AR 72472
Phone (870) 418-1071

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1702512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1750159208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 INDUSTRIAL PARK ACCESS ROAD",
            "city": "TRUMANN",
            "state": "AR",
            "postal_code": "72472",
            "telephone_number": "870-418-1071",
            "fax_number": "870-418-1086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 INDUSTRIAL PARK ACCESS ROAD",
            "city": "TRUMANN",
            "state": "AR",
            "postal_code": "72472"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "528 Industrial Park Access Road",
            "address_purpose": "LOCATION",
            "city": "Trumann",
            "state": "AR",
            "postal_code": "72472",
            "country_code": "US",
            "telephone_number": "870-418-1071",
            "fax_number": "870-418-1086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARHAM",
        "first_name": "CHRISTOPHER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-12-14",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trumann, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; 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.