Alyssa Nicole Hadley, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

4791 Issued in AR

Practice address

405 Hogan LN Ste 1
Conway, AR 72034-8202

Phone

(501) 336-0300

NPI assigned

Aug 9, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Alyssa Nicole Davis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• King Family Dental Care, P.a.

  • General Practice Dentistry
  • Conway, AR
  • NPI 1356083034
  NPD

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

{
    "created_epoch": "1723161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1033940309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 JOSH DR",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720348037",
            "telephone_number": "501-548-7899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 HOGAN LN STE 1",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720348202",
            "telephone_number": "501-336-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADLEY",
        "first_name": "ALYSSA",
        "middle_name": "NICOLE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-09",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AR",
            "license": "4791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "DAVIS",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tabatha Gunnels, PT
• Michelle Haag
• Habilitation Center, LLC
• Emma Mattison Hackler
• Lani Hackney
• Garrett Ryan Hadley, DO
• Breanna R Hagerty
• Alan J Hahn, LPC
• Sarah Hall Hahn, MS, CCC-SLP
• Stacy Hahn, OTRL

• Dentist in Conway, AR
• Providers in Conway, AR by specialty
• Dentist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; 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.