Organization Active NPI

Kiki Dance Studio & Wellness Center LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jonesboro, AR
National Provider Identifier
1811536253
Registry record updated Feb 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
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

Updated by the provider on Feb 23, 2020

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

Authorized official

Name
Kyjione KingNPI 1619516051
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)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.