Organization Active NPI

Vondran Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Little Rock, AR
National Provider Identifier
1033346143
Registry record updated Jun 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
VONDRAN ORTHODONTICS
Practice address
4220 N Rodney Parham Rd Ste 310
Little Rock, AR 72212-2466
Phone
(501) 224-3421
Fax
(501) 224-1305
NPI assigned
Jun 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2009

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

Authorized official

Name
Dr. Charles A. Vondran Jr., D.D.S.M.D.S.NPI 1265517213
Title
Doctor
Phone
(501) 224-3421

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

4220 N Rodney Parham Rd Ste 310
Little Rock, AR 72212-2466

Mailing address

4220 N Rodney Parham Rd Ste 310
Little Rock, AR 72212-2466
Phone (501) 224-3421

Other identifiers 1

IdentifierTypeStateIssuer
1265517213OtherARNPI TYPE 1

National Provider Directory

National Provider Directory

Locations

4220 N Rodney Parham Rd
Ste 310
Little Rock, AR 72212
Phone (501) 224-3421

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": "1245110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245110400000",
    "number": "1033346143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 N RODNEY PARHAM RD STE 310",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722122466",
            "telephone_number": "501-224-3421",
            "fax_number": "501-224-1305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 N RODNEY PARHAM RD STE 310",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722122466",
            "telephone_number": "501-224-3421",
            "fax_number": "501-224-1305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VONDRAN ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-16",
        "last_updated": "2009-06-16",
        "status": "A",
        "authorized_official_last_name": "VONDRAN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "501-224-3421",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.D.S.M.D.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1265517213",
            "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 Jun 16, 2009; 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.