Active NPI
Donald R Perkins, D.D.S.
- General Practice Dentistry
- Forrest City, AR
National Provider Identifier
1053498238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 1882
- Practice address
- 602 N Washington St
Forrest City, AR 72335-3316 - Phone
- (870) 633-8004
- Fax
- (870) 633-8005
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 1882 | AR | Primary |
Addresses
Primary practice location
602 N Washington St
Forrest City, AR 72335-3316
Mailing address
602 N Washington St
Forrest City, AR 72335-3316
Phone (870) 633-8004
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1882 | AR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053498238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "602 N WASHINGTON ST",
"city": "FORREST CITY",
"state": "AR",
"postal_code": "723353316",
"telephone_number": "870-633-8004",
"fax_number": "870-633-8005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 N WASHINGTON ST",
"city": "FORREST CITY",
"state": "AR",
"postal_code": "723353316",
"telephone_number": "870-633-8004",
"fax_number": "870-633-8005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERKINS",
"first_name": "DONALD",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AR",
"license": "1882",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Forrest City, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.