Little Rock Spine & Joint Clinic

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

C8478 Issued in AR

Legal business name

LITTLE ROCK SPINE & JOINT CLINIC

Practice address

1401 South J. Street
Fort Smith, AR 72901-5158

Phone

(479) 785-0612

Fax

(479) 785-8598

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Bonnie V. Kizzire

Title

Office Manager

Phone

(479) 785-0612

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 1

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

• Darin Keith Wilbourn, MD

  • Physical Medicine & Rehabilitation Physician
  • North Little Rock, AR
  • NPI 1770561532
  Medicare reassignment NPD

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452211200000",
    "number": "1982715074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 SOUTH J. STREET",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729015158",
            "telephone_number": "479-785-0612",
            "fax_number": "479-785-8598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 SOUTH J. STREET",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729015158",
            "telephone_number": "479-785-0612",
            "fax_number": "479-785-8598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE ROCK SPINE & JOINT CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2016-01-08",
        "status": "A",
        "authorized_official_last_name": "KIZZIRE",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "479-785-0612",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AR",
            "license": "C8478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Achal Ganiga Lingaraj, MBBS
• Kelley Renee' Linton, AU.D.
• Lisa Brock Counseling
• Danielle Litchford, LPC
• Little Hands at Play Therapy, LLC
• Angel Little, MHPP
• Celsey Little, APRN
• Charles A Little, D.O.
• Jennifer E Little, CRNA
• Joe Little, MHPP

• Clinic/Center in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.