Active NPI
Centerton Orthodontics, PLLC
- Orthodontics and Dentofacial Orthopedics Dentistry
- Centerton, AR
National Provider Identifier
1043101116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Joplin, MO
- NPI 1740950575
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.