NPIMap

Organization Active NPI

Dardanelle Regional, LLC

  • Orthopaedic Surgery Physician
  • Dardanelle, AR
National Provider Identifier
1003753757
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
DARDANELLE REGIONAL, LLC
Practice address
200 N 3Rd St Ste 3
Dardanelle, AR 72834-3802
Phone
(479) 229-4677
NPI assigned
Apr 30, 2026
Organization subpart
Yes
Parent organization
DARDANELLE REGIONAL, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Authorized official

Name
Brandy Talley
Title
Controller
Phone
(479) 229-6191

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0011X
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X

Addresses

Primary practice location

200 N 3Rd St Ste 3
Dardanelle, AR 72834-3802

Mailing address

200 N 3Rd St Ste 3
Dardanelle, AR 72834-3802
Phone (479) 229-4677

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230711000936 AR Part B Supplier - Clinic/Group Practice 0345576500 Receives reassigned benefits from 16 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Dardanelle, AR

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Dardanelle Regional LLC6 organizations share this tax ID, including this one
Part of
Dardanelle Regional LLC

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

200 N 3rd St
Ste 3
Dardanelle, AR 72834
Phone (479) 229-4677

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1777507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777507200000",
    "number": "1003753757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N 3RD ST STE 3",
            "city": "DARDANELLE",
            "state": "AR",
            "postal_code": "728343802",
            "telephone_number": "479-229-4677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N 3RD ST STE 3",
            "city": "DARDANELLE",
            "state": "AR",
            "postal_code": "728343802",
            "telephone_number": "479-229-4677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARDANELLE REGIONAL, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DARDANELLE REGIONAL, LLC",
        "enumeration_date": "2026-04-30",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A",
        "authorized_official_last_name": "TALLEY",
        "authorized_official_first_name": "BRANDY",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "479-229-6191"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dardanelle, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; 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.