Pea Ridge Family & Cosmetic Dentistry by Wisener, Cooper, & Fergus

Primary specialty

DentistTaxonomy code 122300000X

License

3270 Issued in AR

Legal business name

PEA RIDGE FAMILY & COSMETIC DENTISTRY BY WISENER, COOPER, & FERGUS

Practice address

833 N Curtis Ave
Pea Ridge, AR 72751-2930

Phone

(479) 488-6288

NPI assigned

Mar 14, 2016

Organization subpart

Yes

Parent organization

WISENER, COOPER, & FERGUS, DDS,PLLCAs reported in NPPES

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

Authorized official

Name

Mrs. Gay Lynn Welden

Title

Office Manager

Phone

(479) 636-7100

Specialties & licenses 1

Addresses

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Wisener, Cooper & Fergus DDS PLLC

  • General Practice Dentistry
  • Rogers, AR
  • NPI 1841875507
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Barry L. Henbest, DDS

  • General Practice Dentistry
  • Pea Ridge, AR
  • NPI 1861402000
  NPD (past)

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

{
    "created_epoch": "1457913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457913600000",
    "number": "1043671332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 N CURTIS AVE",
            "city": "PEA RIDGE",
            "state": "AR",
            "postal_code": "727512930",
            "telephone_number": "479-488-6288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 N CURTIS AVE",
            "city": "PEA RIDGE",
            "state": "AR",
            "postal_code": "727512930",
            "telephone_number": "479-488-6288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEA RIDGE FAMILY & COSMETIC DENTISTRY BY WISENER, COOPER, & FERGUS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WISENER, COOPER, & FERGUS, DDS,PLLC",
        "enumeration_date": "2016-03-14",
        "last_updated": "2016-03-14",
        "status": "A",
        "authorized_official_last_name": "WELDEN",
        "authorized_official_first_name": "GAY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "479-636-7100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AR",
            "license": "3270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northwest Arkansas Pediatric Therapy Services, Inc
• Rain Oleson
• Allison Overbay, SLP
• Ozark Eye, PLLC
• Delilah Mae Parker, D.C.
• Pea Ridge Family Dentistry, PLLC
• Pea Ridge School District
• Pea Ridge Urgent Care Clinic
• Peronia Physical Therapy
• Alex Pistorius, DDS

• Dentist in Pea Ridge, AR
• Providers in Pea Ridge, AR by specialty
• Dentist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2016; 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.