Active NPI
Kiki Dance Studio & Wellness Center LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Jonesboro, AR
National Provider Identifier
1811536253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- KIKI DANCE STUDIO & WELLNESS CENTER LLC
- Practice address
- 721 S Gee St Ste a
Jonesboro, AR 72401-3308 - Phone
- (870) 882-1725
- NPI assigned
- Jan 2, 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
- Kyjione King
- Title
- Owner
- Phone
- (870) 882-8345
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
721 S Gee St Ste a
Jonesboro, AR 72401-3308
Mailing address
721 S Gee St Ste a
Jonesboro, AR 72401-3308
Phone (870) 882-1725
National Provider Directory
National Provider DirectoryLocations
721 S Gee St
#A
Jonesboro, AR 72401
Phone (870) 882-1725
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Case Manager/Care Coordinator
- Jonesboro, AR
- NPI 1619516051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577923200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1582416000000",
"number": "1811536253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "721 S GEE ST STE A",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724013308",
"telephone_number": "870-882-1725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 S GEE ST STE A",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724013308",
"telephone_number": "870-882-1725"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIKI DANCE STUDIO & WELLNESS CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-02",
"last_updated": "2020-02-23",
"certification_date": "2020-02-23",
"status": "A",
"authorized_official_last_name": "KING",
"authorized_official_first_name": "KYJIONE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "870-882-8345"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jonesboro, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.