Active NPI
Vafa Ferdowsian DPM, P.a.
- Non-Pharmacy Dispensing Site
- Benton, AR
National Provider Identifier
1922566470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-Pharmacy Dispensing Site
- Legal business name
- VAFA FERDOWSIAN DPM, P.A.
- Practice address
- 610 Highway 5 N
Benton, AR 72019-8559 - Phone
- (800) 539-1911
- Fax
- (501) 327-3664
- NPI assigned
- Mar 4, 2019
- 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
- Vafa N Ferdowsian, DPM
- Title
- Owner
- Phone
- (501) 327-3668
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-Pharmacy Dispensing Site | 332900000X | Primary |
Addresses
Primary practice location
610 Highway 5 N
Benton, AR 72019-8559
Mailing address
PO Box 10607
Conway, AR 72034-0010
Phone (501) 327-3668
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 163819748 | Medicaid | AR |
Other names 1
- Foot and Ankle Specialty Clinic
National Provider Directory
National Provider Directory- Tax ID family
- Vafa Ferdowsian DPM PA
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Conway, AR
- NPI 1720642465
-
- Non-Pharmacy Dispensing Site
- Russellville, AR
- NPI 1972061430
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Conway, AR
- NPI 1033182837
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551657600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1551657600000",
"number": "1922566470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10607",
"city": "CONWAY",
"state": "AR",
"postal_code": "720340010",
"telephone_number": "501-327-3668",
"fax_number": "501-327-3664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 HIGHWAY 5 N",
"city": "BENTON",
"state": "AR",
"postal_code": "720198559",
"telephone_number": "800-539-1911",
"fax_number": "501-327-3664"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VAFA FERDOWSIAN DPM, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-04",
"last_updated": "2019-03-04",
"status": "A",
"authorized_official_last_name": "FERDOWSIAN",
"authorized_official_first_name": "VAFA",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "501-327-3668",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "332900000X",
"taxonomy_group": "",
"desc": "Non-Pharmacy Dispensing Site",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "163819748",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Foot and Ankle Specialty Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Benton, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.