Active NPI
Park Spine & Rehab
- Chiropractor
- North Little Rock, AR
National Provider Identifier
1861780512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- PARK SPINE & REHAB
- Practice address
- 3901 McCain Park Dr Ste 110
North Little Rock, AR 72116-7849 - Phone
- (817) 860-1005
- NPI assigned
- Jul 15, 2011
- 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
- Jennifer Hodges
- Title
- Acct MGR
- Phone
- (817) 860-1005
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
3901 McCain Park Dr Ste 110
North Little Rock, AR 72116-7849
Mailing address
3901 McCain Park Dr Ste 110
North Little Rock, AR 72116-7849
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1310688000000",
"number": "1861780512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3901 MCCAIN PARK DR STE 110",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721167849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 MCCAIN PARK DR STE 110",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721167849",
"telephone_number": "817-860-1005"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARK SPINE & REHAB",
"organizational_subpart": "NO",
"enumeration_date": "2011-07-15",
"last_updated": "2011-07-15",
"status": "A",
"authorized_official_last_name": "HODGES",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "ACCT MGR",
"authorized_official_telephone_number": "817-860-1005"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.