ARKANSAS PERMANENT COSMETICS AND BRICKHOUSE BODY ART INSTITUTE, LLC — NPI 1720892821 (Licensed & Credentialed Specialist/Technologist, Other in CABOT, AR)

CMS-1500 Box 24J / 33a • NPI

1720892821

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

246Z00000X

Licensed & Credentialed Specialist/Technologist, Other

Box 32 Service Location & ZIP+4

12406 HIGHWAY 5 STE F, CABOT, AR, 72023-7657

✓ 9-Digit EDI 837 ZIP+4 (72023-7657)

Practice Phone & Referral Fax

(501) 500-0272

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1720892821 (ARKANSAS PERMANENT COSMETICS AND BRICKHOUSE BODY ART INSTITUTE, LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1720892821` (NPI-2 Organization / Facility)
Provider / Legal Name	ARKANSAS PERMANENT COSMETICS AND BRICKHOUSE BODY ART INSTITUTE, LLC
Plain-English Specialty	Licensed & Credentialed Specialist/Technologist, Other NUCC Code: `246Z00000X` (Specialist/Technologist, Other)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	12406 HIGHWAY 5 STE F, CABOT, AR, 72023-7657
Practice Telephone / Fax	Tel: (501) 500-0272
Administrative Mailing Address	12406 HIGHWAY 5 STE F, CABOT, AR, 72023-7657
Enumeration & Last Sync	Enumerated: 2025-02-07 \| CMS Record Updated: 2025-02-07
Authorized Official	MIKAL MURDERS (Administrator)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

12406 HIGHWAY 5 STE F, CABOT, AR, 72023-7657

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Plain-English Taxonomy & CMS Crosswalk (246Z00000X)

What Does Taxonomy Code 246Z00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 246Z00000X translates to:
"Licensed & Credentialed Specialist/Technologist, Other"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Specialist/Technologist, Other for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ARKANSAS PERMANENT COSMETICS AND BRICKHOUSE BODY ART INSTITUTE, LLC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`246Z00000X` — Specialist/Technologist, Other Plain English: Licensed & Credentialed Specialist/Technologist, Other	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ARKANSAS PERMANENT COSMETICS AND BRICKHOUSE BODY ART INSTITUTE, LLC (NPI #1720892821)