NPIMap

Organization Active NPI

Superintendent of Fayetteville Public Schools

  • Local Education Agency (LEA)
  • Fayetteville, AR
National Provider Identifier
1972668812
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
SUPERINTENDENT OF FAYETTEVILLE PUBLIC SCHOOLS
Practice address
1000 W Bulldog Blvd
Fayetteville, AR 72701-4714
Phone
(479) 444-3000
NPI assigned
Dec 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Authorized official

Name
Dr. Johnathan Mulford
Title
Superintendent
Phone
(479) 444-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X AR Primary

Addresses

Primary practice location

1000 W Bulldog Blvd
Fayetteville, AR 72701-4714

Mailing address

1000 W Bulldog Blvd
Fayetteville, AR 72701-4714
Phone (479) 444-3000

Other identifiers 5

IdentifierTypeStateIssuer
116148743MedicaidAR
189068761MedicaidAR
126906742MedicaidAR
205195720MedicaidAR
139602745MedicaidAR

National Provider Directory

National Provider Directory

Locations

1000 W Bulldog Blvd
Fayetteville, AR 72701
Phone (479) 444-3000

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707868800000",
    "number": "1972668812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W BULLDOG BLVD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727014714",
            "telephone_number": "479-444-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W BULLDOG BLVD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727014714",
            "telephone_number": "479-444-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERINTENDENT OF FAYETTEVILLE PUBLIC SCHOOLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A",
        "authorized_official_last_name": "MULFORD",
        "authorized_official_first_name": "JOHNATHAN",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "479-444-3000",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116148743",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "189068761",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126906742",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205195720",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139602745",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; 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.