Organization Active NPI

Centerton Orthodontics, PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Centerton, AR
National Provider Identifier
1043101116
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
CENTERTON ORTHODONTICS, PLLC
Practice address
1305 E Centerton Blvd
Centerton, AR 72719
Phone
(479) 412-4140
NPI assigned
Jul 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Authorized official

Name
Dr. Skylar P Maxwell, D.D.S, M.S.NPI 1740950575
Title
Owner/Doctor
Phone
(479) 207-2318

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

1305 E Centerton Blvd
Centerton, AR 72719

Mailing address

730 Bronco St
Centerton, AR 72719-4019
Phone (479) 207-2318

Other names 1

  • Centerton Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

1305 E Centerton Blvd
Centerton, AR 72719
Phone (479) 412-4140

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": "1752537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752537600000",
    "number": "1043101116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 BRONCO ST",
            "city": "CENTERTON",
            "state": "AR",
            "postal_code": "727194019",
            "telephone_number": "479-207-2318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 E CENTERTON BLVD",
            "city": "CENTERTON",
            "state": "AR",
            "postal_code": "72719",
            "telephone_number": "479-412-4140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERTON ORTHODONTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-15",
        "last_updated": "2025-07-15",
        "certification_date": "2025-06-27",
        "status": "A",
        "authorized_official_last_name": "MAXWELL",
        "authorized_official_first_name": "SKYLAR",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "479-207-2318",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S, M.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centerton Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Centerton, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; 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.