Arkansas Pediatric Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

3733 Issued in AR

Legal business name

ARKANSAS PEDIATRIC DENTISTRY

Practice address

5905 W 12TH St
Little Rock, AR 72204-1608

Phone

(501) 350-6416

NPI assigned

Jul 29, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Cara J Jones, DDS

Title

President

Phone

(501) 350-6416

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Arkansas Pediatric Dentistry2 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.

• Arkansas Pediatric Dentistry

  • Pediatric Dentistry
  • Little Rock, AR
  • NPI 1174949622
  NPD tax ID

Locations

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

{
    "created_epoch": "1375056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376870400000",
    "number": "1003258245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5905 W 12TH ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722041608",
            "telephone_number": "501-350-6416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5905 W 12TH ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722041608",
            "telephone_number": "501-350-6416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-29",
        "last_updated": "2013-08-19",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "CARA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-350-6416",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AR",
            "license": "3733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179325608",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arkansas Pain Care Clinics, PA
• Arkansas Pain Centers LTD
• Arkansas Pathology Associates PA
• Arkansas Pediatric Clinic, PLLC
• Arkansas Pediatric Clinic, PLLC
• Arkansas Pediatric Dentistry
• Arkansas Pelvic Health PLLC
• Arkansas Perinatal Services
• Arkansas Periodontal Associates
• Arkansas Physicians Eyecare Group Campen, P.a.

• Pediatric Dentistry in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Pediatric Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2013; 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.