Daniel L Bird, DDS, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

113692427 Issued in AR

Practice address

203 S Avalon St
West Memphis, AR 72301-4172

Phone

(870) 732-2275

Fax

(870) 732-1350

NPI assigned

Aug 3, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Crosstown Dental Group Highland Row LLC

  • General Practice Dentistry
  • Memphis, TN
  • NPI 1497361596
  NPD Authorized official
• Crosstown Dental Group LLC

  • General Practice Dentistry
  • Memphis, TN
  • NPI 1467068569
  NPD Authorized official
• Daniel Bird D.D.S

  • Dental Clinic/Center
  • West Memphis, AR
  • NPI 1538419239
  Authorized official Same address or phone

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023026630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 S AVALON ST",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723014172",
            "telephone_number": "870-732-2275",
            "fax_number": "870-732-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 S AVALON ST",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723014172",
            "telephone_number": "870-732-2275",
            "fax_number": "870-732-1350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRD",
        "first_name": "DANIEL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DDS, PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "113692427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSAR",
            "identifier": "5X437",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-TN  ID #",
            "identifier": "4072662",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beyond Hope Therapeutic Services, LLC
• Katie Billings, PTA
• Taylor Billingsley, OTA
• Erica Evette Billups, M.S. CCC-SLP
• Bio-Medical Applications of Arkansas, Inc. (Bma East Arkansas)
• Bloom Behavioral Health & Wellness, PLLC
• Latairricka//198 Bolden
• William D Bond, BS PHARMACIST
• Julianna Boskus, DDS
• Robert Blake Bowman, DDS

• General Practice Dentistry in West Memphis, AR
• Providers in West Memphis, 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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.