Organization Active NPI

Jason Timmons, DDS, PA

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Pine Bluff, AR
National Provider Identifier
1053525642
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
3430 Issued in AR
Legal business name
JASON TIMMONS, DDS, PA
Practice address
4301 S Mulberry St Ste a
Pine Bluff, AR 71603-7005
Phone
(870) 535-5616
Fax
(870) 535-5628
NPI assigned
May 10, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jason Eric Timmons, DDS
Title
Orthodontist
Phone
(870) 535-5616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 3430 AR Primary

Addresses

Primary practice location

4301 S Mulberry St Ste a
Pine Bluff, AR 71603-7005

Mailing address

4301 S Mulberry St Ste a
Pine Bluff, AR 71603-7005
Phone (870) 535-5616

National Provider Directory

National Provider Directory

Locations

4301 S Mulberry St
Ste A
Pine Bluff, AR 71603
Phone (870) 535-5616

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053525642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 S MULBERRY ST STE A",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716037005",
            "telephone_number": "870-535-5616",
            "fax_number": "870-535-5628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 S MULBERRY ST STE A",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716037005",
            "telephone_number": "870-535-5616",
            "fax_number": "870-535-5628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON TIMMONS, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TIMMONS",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "870-535-5616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AR",
            "license": "3430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pine Bluff, AR

Sources for this page

  • 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.