Pediatrics Plus Diagnostic Services

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

PEDIATRICS PLUS DIAGNOSTIC SERVICES

Practice address

2740 College Ave
Conway, AR 72034-6141

Phone

(501) 329-5459

Fax

(501) 327-1738

NPI assigned

Jun 19, 2009

Organization subpart

No

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

Authorized official

Name

Amy Denton

Title

Owner

Phone

(501) 329-5459

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

Pediatrics Plus Diagnostic Services2 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.

• Pediatrics Plus Learning and Diagnostic Center

  • Adolescent and Children Mental Health Clinic/Center
  • Conway, AR
  • NPI 1629491717
  NPD tax ID

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

{
    "created_epoch": "1245369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245369600000",
    "number": "1821225590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 COLLEGE AVE",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720346141",
            "telephone_number": "501-329-5459",
            "fax_number": "501-327-1738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 COLLEGE AVE",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720346141",
            "telephone_number": "501-329-5459",
            "fax_number": "501-327-1738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRICS PLUS DIAGNOSTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-19",
        "last_updated": "2009-06-19",
        "status": "A",
        "authorized_official_last_name": "DENTON",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-329-5459"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176368744",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trentcy Peaks
• Chelsea Pearcy, OT
• Courtney K Pearson
• Shameca Pearson, RBT
• Pediatrics Plus Community Connections
• Pediatrics Plus Learning and Diagnostic Center
• Pediatrics Plus Therapy Services, LLC
• Pediatrics Plus Therapy Services, LLC
• Addy Lane Peebles
• Caleigh Peebles

• Developmental Disabilities Clinic/Center in Conway, AR
• Providers in Conway, AR by specialty
• Developmental Disabilities Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2009; 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.