Dement Internal Medicine Clinic, P.a.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

E4148 Issued in AR

Legal business name

DEMENT INTERNAL MEDICINE CLINIC, P.A.

Practice address

1000 W Kingshighway Ste 7
Paragould, AR 72450-4197

Phone

(870) 236-8855

Fax

(870) 236-8895

NPI assigned

Apr 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. William T. Dement, MD

Title

MD

Phone

(870) 236-8855

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053537845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W KINGSHIGHWAY STE 7",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724504197",
            "telephone_number": "870-236-8855",
            "fax_number": "870-236-8895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W KINGSHIGHWAY STE 7",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724504197",
            "telephone_number": "870-236-8855",
            "fax_number": "870-236-8895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEMENT INTERNAL MEDICINE CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEMENT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "870-236-8855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AR",
            "license": "E4148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS BCBS",
            "identifier": "5N015",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Whitney Dean
• Amy Deatherage
• Samantha Dees
• Louisaac Anthony Delices
• Daniel Delpino
• William T Dement, MD
• Natalie Demuth
• Kadie Denney
• Dennis Vowell II Psy.D
• Amber Dentmon

• Clinic/Center in Paragould, AR
• Providers in Paragould, AR by specialty
• Clinic/Center 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.