Feet Plus of Arkansas Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

1532 Issued in OK

Legal business name

FEET PLUS OF ARKANSAS INC

Practice address

2852 Bella Vista Way Street
Bella Vista, AR 72714-3708

Phone

(479) 268-3477

Fax

(479) 268-3477

NPI assigned

Dec 29, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Bert Sanchez

Title

Ceo

Phone

(479) 268-3477

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Feet Plus of Arkansas Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Feet Plus of Arkansas, Inc

  • Physical Medicine & Rehabilitation Physician
  • Springdale, AR
  • NPI 1437459096
  NPD tax ID

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

{
    "created_epoch": "1293580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293580800000",
    "number": "1972807360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2852 BELLA VISTA WAY",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727143708",
            "telephone_number": "479-268-3477",
            "fax_number": "479-268-3478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2852 BELLA VISTA WAY STREET",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727143708",
            "telephone_number": "479-268-3477",
            "fax_number": "479-268-3477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FEET PLUS OF ARKANSAS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-29",
        "last_updated": "2010-12-29",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "BERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "479-268-3477",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OK",
            "license": "1532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182546002",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181553002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ethan D Erwin
• David Scott Estes, M.D.
• Melissa Ruiz Eudey, CD, CLC, RYT
• Eye Associates Leasing Company Incorporated
• Faith Venture Pharmacy Inc
• Sarah Fellers
• Shane Ledrew Fink, LPTA
• Madison Forthman, PHARM D
• Jason Paul Frederick, RN
• Katherine Frey, CBS

• Clinic/Center in Bella Vista, AR
• Providers in Bella Vista, AR by specialty
• Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2010; 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.