Active NPI
The Doni Martin Center for Developmental Services, Inc.
- Developmental Disabilities Clinic/Center
- Pocahontas, AR
National Provider Identifier
1760091433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Disabilities Clinic/Center
- Legal business name
- THE DONI MARTIN CENTER FOR DEVELOPMENTAL SERVICES, INC.
- Practice address
- 1506 N Park St
Pocahontas, AR 72455-2111 - Phone
- (870) 892-4061
- NPI assigned
- Jul 28, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anita Orrick
- Title
- Ceo
- Phone
- (870) 892-4061
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Disabilities Clinic/Center | 261QD1600X | Primary |
Addresses
Primary practice location
1506 N Park St
Pocahontas, AR 72455-2111
Mailing address
PO Box 425
Pocahontas, AR 72455-0425
Phone (870) 892-4061
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105439724 | Medicaid | AR |
National Provider Directory
National Provider Directory- Tax ID family
- The Doni Martin Center for Developmental Services Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Early Intervention Provider Agency
- Pocahontas, AR
- NPI 1760573646
Locations
1506 N Park St
Pocahontas, AR 72455
Phone (870) 892-4061
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595894400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1595980800000",
"number": "1760091433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 425",
"city": "POCAHONTAS",
"state": "AR",
"postal_code": "724550425",
"telephone_number": "870-892-4061",
"fax_number": "870-892-7151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1506 N PARK ST",
"city": "POCAHONTAS",
"state": "AR",
"postal_code": "724552111",
"telephone_number": "870-892-4061"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE DONI MARTIN CENTER FOR DEVELOPMENTAL SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-28",
"last_updated": "2020-07-29",
"certification_date": "2020-07-29",
"status": "A",
"authorized_official_last_name": "ORRICK",
"authorized_official_first_name": "ANITA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "870-892-4061"
},
"taxonomies": [
{
"code": "261QD1600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "105439724",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pocahontas, AR
- Taylor-Pickett Chiropractic (Pickett Family Chiropractic Clinic)
- Ashley Erin Taylor, APRN
- Hannah Teel, COTA/L
- Rebecca Lea Teel, QBHP
- Stephanie Thatch, MHPP
- The Doni Martin Center for Developmental Services, Inc.
- The Public Building Authority of the City of Pocahontas Arkansas
- The Public Building Authority of the City of Pocahontas Arkansas
- The Public Building Authority of the City of Pocahontas Arkansas
- The Public Building Authority of the City of Pocahontas Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.