Active NPI
Radiology Associates of North Arkansas
- Diagnostic Radiology Physician
- Harrison, AR
National Provider Identifier
1891758405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- RADIOLOGY ASSOCIATES OF NORTH ARKANSAS
- Practice address
- 620 N Main St
Harrison, AR 72601-2911 - Phone
- (877) 561-3023
- Fax
- (479) 968-1673
- NPI assigned
- Apr 7, 2006
- 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
- Christopher Bennett
- Title
- Physican/Owner
- Phone
- (479) 968-7930
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
620 N Main St
Harrison, AR 72601-2911
Mailing address
PO Box 9178
Russellville, AR 72811-9178
Phone (479) 968-7930
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 57420 | Other | AR | BCBS PROVIDER NUMBER |
| 101308002 | Medicaid | AR |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144368000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1388620800000",
"number": "1891758405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9178",
"city": "RUSSELLVILLE",
"state": "AR",
"postal_code": "728119178",
"telephone_number": "479-968-7930",
"fax_number": "479-968-1673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 N MAIN ST",
"city": "HARRISON",
"state": "AR",
"postal_code": "726012911",
"telephone_number": "877-561-3023",
"fax_number": "479-968-1673"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RADIOLOGY ASSOCIATES OF NORTH ARKANSAS",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-07",
"last_updated": "2014-01-02",
"status": "A",
"authorized_official_last_name": "BENNETT",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_title_or_position": "PHYSICAN/OWNER",
"authorized_official_telephone_number": "479-968-7930"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "57420",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101308002",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Harrison, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.