Organization Active NPI

The Doni Martin Center for Developmental Services, Inc.

  • Developmental Disabilities Clinic/Center
  • Pocahontas, AR
National Provider Identifier
1760091433
Registry record updated Jul 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
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

Updated by the provider on Jul 29, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
105439724MedicaidAR

National Provider Directory

National Provider Directory
Tax ID family
The Doni Martin Center for Developmental Services Inc2 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.

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

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.

Verify at the official NPI Registry.