NPIMap

Organization Active NPI

Lakeside Dental LLC

  • General Practice Dentistry
  • Shirley, AR
National Provider Identifier
1003268608
Registry record updated Jul 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4091 Issued in AR
Legal business name
LAKESIDE DENTAL LLC
Practice address
15775 Highway 16 E
Shirley, AR 72153-8930
Phone
(501) 499-0906
NPI assigned
Jul 7, 2016
Last updated
Jul 7, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2016

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

Authorized official

Name
Larhonda Apata, DDSNPI 1437602141
Title
Dentist
Phone
(501) 499-0906

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4091 AR Primary

Addresses

Primary practice location

15775 Highway 16 E
Shirley, AR 72153-8930

Mailing address

15775 Highway 16 E
Shirley, AR 72153-8930
Phone (501) 499-0906

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1467849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467849600000",
    "number": "1003268608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15775 HIGHWAY 16 E",
            "city": "SHIRLEY",
            "state": "AR",
            "postal_code": "721538930",
            "telephone_number": "501-499-0906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15775 HIGHWAY 16 E",
            "city": "SHIRLEY",
            "state": "AR",
            "postal_code": "721538930",
            "telephone_number": "501-499-0906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-07",
        "last_updated": "2016-07-07",
        "status": "A",
        "authorized_official_last_name": "APATA",
        "authorized_official_first_name": "LARHONDA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "501-499-0906",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "4091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shirley, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2016; 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.