Naveera PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4255 Issued in AR

Legal business name

NAVEERA PLLC

Doing business as

Walnut Ridge Dental Care

Practice address

1045 W Main St Ste a
Walnut Ridge, AR 72476-1004

Phone

(870) 886-3338

Fax

(870) 886-6388

NPI assigned

Jul 10, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Samir P Patel, DMDNPI 1316102312

Title

Owner

Phone

(870) 886-3338

Specialties & licenses 1

Addresses

Other names 1

• Walnut Ridge Dental Care Doing business as

Practitioners 1

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

• Samir P Patel, DMD

  • General Practice Dentistry
  • Thayer, MO
  • NPI 1316102312
  NPD (past) Authorized official

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

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531180800000",
    "number": "1003302324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 687",
            "city": "WALNUT RIDGE",
            "state": "AR",
            "postal_code": "724760687",
            "telephone_number": "870-886-3338",
            "fax_number": "870-886-6388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 W MAIN ST STE A",
            "city": "WALNUT RIDGE",
            "state": "AR",
            "postal_code": "724761004",
            "telephone_number": "870-886-3338",
            "fax_number": "870-886-6388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAVEERA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-10",
        "last_updated": "2018-07-10",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SAMIR",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-886-3338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "4255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walnut Ridge Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa Milgrim, LPN
• Meghon Lanae Mink, PT, DPT
• Chelsea Mitchell, QBHP
• Tammy Marie Monteniszs, QBHP
• Maegan Mullen
• Shawna Nicholas, LPN
• Stephanie Marie Nichols, RN
• Alexandria Nicole Noe, QBHP
• Northeast Arkansas Community Mental Health Center Inc
• Northeast Arkansas Educational Cooperative

• General Practice Dentistry in Walnut Ridge, AR
• Providers in Walnut Ridge, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; 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.