NPIMap

Organization Active NPI

Doctors Testing Center LLC II

  • Otolaryngology Physician
  • Jacksonville, AR
National Provider Identifier
1922178060
Registry record updated Aug 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
DOCTORS TESTING CENTER LLC II
Practice address
2227 W Main St
Suite 4
Jacksonville, AR 72076-4207
Phone
(501) 985-9944
Fax
(501) 985-6590
NPI assigned
Nov 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2007

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

Authorized official

Name
Mr. Ronald F DavisNPI 1396845574
Title
Partner Officer
Phone
(501) 985-9944

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Otolaryngology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Y00000X Primary
Other TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 247200000X

Addresses

Primary practice location

2227 W Main St
Suite 4
Jacksonville, AR 72076-4207

Mailing address

2227 West Main Street
Jacksonville, AR 72076
Phone (501) 985-9944

Other identifiers 2

IdentifierTypeStateIssuer
5C724OtherARIDTF
5C652OtherARMEDICARE

Other names 1

  • Doctors Hearing Center Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188518400000",
    "number": "1922178060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2227 WEST MAIN STREET",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "72076",
            "telephone_number": "501-985-9944",
            "fax_number": "501-985-6590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2227 W MAIN ST",
            "address_2": "SUITE 4",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720764207",
            "telephone_number": "501-985-9944",
            "fax_number": "501-985-6590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS TESTING CENTER LLC II",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-08-31",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PARTNER OFFICER",
        "authorized_official_telephone_number": "501-985-9944",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "247200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDTF",
            "identifier": "5C724",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "5C652",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doctors Hearing Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jacksonville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2007; 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.