Organization Active NPI

Little Rock Prosthetics Inc.

  • Prosthetic/Orthotic Supplier
  • Little Rock, AR
National Provider Identifier
1770697484
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
LITTLE ROCK PROSTHETICS INC.
Practice address
424 N University Ave Ste 1
Little Rock, AR 72205-3266
Phone
(501) 664-2345
Fax
(501) 664-4663
NPI assigned
Aug 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2008

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

Authorized official

Name
Mr. Dan M Crowder, C.P.
Title
Owner
Phone
(501) 664-2345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

424 N University Ave Ste 1
Little Rock, AR 72205-3266

Mailing address

424 N University Ave Ste 1
Little Rock, AR 72205-3266
Phone (501) 664-2345

Other identifiers 1

IdentifierTypeStateIssuer
119426716MedicaidAR

National Provider Directory

National Provider Directory

Locations

424 N University Ave
Ste 1
Little Rock, AR 72205
Phone (501) 661-9048

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1770697484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 N UNIVERSITY AVE STE 1",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722053266",
            "telephone_number": "501-664-2345",
            "fax_number": "501-664-4663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 N UNIVERSITY AVE STE 1",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722053266",
            "telephone_number": "501-664-2345",
            "fax_number": "501-664-4663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE ROCK PROSTHETICS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "CROWDER",
        "authorized_official_first_name": "DAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-664-2345",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.P."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119426716",
            "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 Aug 12, 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.