Individual provider Active NPI

Catriona Callan Oltmann, DMD

  • General Practice Dentistry
  • Stuttgart, AR
National Provider Identifier
1053620864
Registry record updated Sep 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3781 Issued in AR
Practice address
713 S Main St
Stuttgart, AR 72160-4805
Phone
(870) 673-7181
NPI assigned
Sep 28, 2010
Last updated
Sep 28, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3781 AR Primary

Addresses

Primary practice location

713 S Main St
Stuttgart, AR 72160-4805

Mailing address

244 Nagel Dr
Stuttgart, AR 72160-2945
Phone (870) 672-4758

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

LicenseStateTypeSpecialty
3781ARMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1285632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285632000000",
    "number": "1053620864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 NAGEL DR",
            "city": "STUTTGART",
            "state": "AR",
            "postal_code": "721602945",
            "telephone_number": "870-672-4758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 S MAIN ST",
            "city": "STUTTGART",
            "state": "AR",
            "postal_code": "721604805",
            "telephone_number": "870-673-7181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLTMANN",
        "first_name": "CATRIONA",
        "middle_name": "CALLAN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-28",
        "last_updated": "2010-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "3781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuttgart, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; 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.