Axpm Jonesboro, PLLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

3763 Issued in AR

Legal business name

AXPM JONESBORO, PLLC

Practice address

2316 Red Wolf Blvd
Suite C
Jonesboro, AR 72401-0000

Phone

(501) 781-2777

NPI assigned

Oct 12, 2015

Last updated

Oct 12, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bryan Hiller

Title

Owner

Phone

(501) 781-2777

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1444608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444608000000",
    "number": "1043681448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24470",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722214470",
            "telephone_number": "501-781-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2316 RED WOLF BLVD",
            "address_2": "SUITE C",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724010000",
            "telephone_number": "501-781-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXPM JONESBORO, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-12",
        "last_updated": "2015-10-12",
        "status": "A",
        "authorized_official_last_name": "HILLER",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-781-2777"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AR",
            "license": "3763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raegan Avrit, OTD
• Awanna LLC (Awanna Smith)
• Lena Z Awar, MD
• Ziad Awar, M.D.,
• Axpm Jonesboro Pedo, PLLC (Leap Kids Dental- Jonesboro)
• Nathaniel Ayers
• Trichina Ayers, MHPP
• Back in Action of Jonesboro, Inc.
• Dominique Leigh Bacot
• Maxwell Bacot, DO

• Orthodontics and Dentofacial Orthopedics Dentistry in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2015; 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.