Kitchens' Pediatric Dentistry P.a.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

3186 Issued in AR

Legal business name

KITCHENS' PEDIATRIC DENTISTRY P.A.

Practice address

10310 W Markham St
Suite 202
Little Rock, AR 72205-2175

Phone

(501) 223-0822

Fax

(501) 221-9420

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Clovis Andy Kitchens

Title

President

Phone

(501) 223-0822

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043305170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10310 W MARKHAM ST",
            "address_2": "SUITE 202",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722052175",
            "telephone_number": "501-223-0822",
            "fax_number": "501-221-9420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10310 W MARKHAM ST",
            "address_2": "SUITE 202",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722052175",
            "telephone_number": "501-223-0822",
            "fax_number": "501-221-9420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KITCHENS' PEDIATRIC DENTISTRY P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KITCHENS",
        "authorized_official_first_name": "CLOVIS",
        "authorized_official_middle_name": "ANDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-223-0822",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AR",
            "license": "3186",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AR",
            "license": "3512",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kitchens Pediatric Dentistry, PLLC
• Brandon Jeffrey Kitchens, D.D.S.
• Clovis Andrew Kitchens, D.D.S. M.S
• Michael Anthony Kitchens, D.D.S.
• Nicholas Martin Kitchens, APRN
• Michael Timothy Kittell, M.D.
• Albert Lee Kittrell, M.D.
• Tara Catherine Kittrell, APN
• KJ Medical Management
• Janine Klar, MD

• Pediatric Dentistry in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Pediatric Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.