Organization Active NPI

Hugh F. Burnett DDS. PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Little Rock, AR
National Provider Identifier
1013188176
Registry record updated Mar 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
3399 Issued in AR
Legal business name
HUGH F. BURNETT DDS. PA
Practice address
10310 W Markham St
Suite 300
Little Rock, AR 72205-2175
Phone
(501) 225-1766
Fax
(501) 225-1624
NPI assigned
Mar 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2008

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

Authorized official

Name
Mrs. Karen Jennings Shepherd
Title
Office Manager
Phone
(501) 225-1766

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 3399 AR Primary

Addresses

Primary practice location

10310 W Markham St
Suite 300
Little Rock, AR 72205-2175

Mailing address

10310 W Markham St
Suite 300
Little Rock, AR 72205-2175
Phone (501) 225-1766

Other identifiers 2

IdentifierTypeStateIssuer
U91657OtherARUPIN
5X100OtherARARKANSAS BCBS

National Provider Directory

National Provider Directory

Locations

10310 W Markham St
Ste 300
Little Rock, AR 72205
Phone (501) 225-1766

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": "1205712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205712000000",
    "number": "1013188176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10310 W MARKHAM ST",
            "address_2": "SUITE 300",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722052175",
            "telephone_number": "501-225-1766",
            "fax_number": "501-225-1624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10310 W MARKHAM ST",
            "address_2": "SUITE 300",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722052175",
            "telephone_number": "501-225-1766",
            "fax_number": "501-225-1624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUGH F. BURNETT DDS. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-17",
        "last_updated": "2008-03-17",
        "status": "A",
        "authorized_official_last_name": "SHEPHERD",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "JENNINGS",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "501-225-1766",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "AR",
            "license": "3399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "U91657",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS BCBS",
            "identifier": "5X100",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; 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.