Active NPI
Wesley Alexander Hamilton, DDS
- General Practice Dentistry
- Bryant, AR
National Provider Identifier
1073743878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3719
- Practice address
- 2422 Springhill Rd
Bryant, AR 72022-9101 - Phone
- (501) 944-7363
- NPI assigned
- Jul 15, 2009
- Last updated
- Sep 20, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 3719 | AR | |
| General Practice Dentistry | 1223G0001X | 3719 | AR | Primary |
Addresses
Primary practice location
2422 Springhill Rd
Bryant, AR 72022-9101
Mailing address
2422 Springhill Rd
Bryant, AR 72022-9101
Phone (501) 653-2422
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 177999608 | Medicaid | AR |
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 |
|---|---|---|---|
| 3719 | AR | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alex Hamilton DDS, PA | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505865600000",
"number": "1073743878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2422 SPRINGHILL RD",
"city": "BRYANT",
"state": "AR",
"postal_code": "720229101",
"telephone_number": "501-653-2422",
"fax_number": "501-653-2425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2422 SPRINGHILL RD",
"city": "BRYANT",
"state": "AR",
"postal_code": "720229101",
"telephone_number": "501-944-7363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMILTON",
"first_name": "WESLEY",
"middle_name": "ALEXANDER",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-15",
"last_updated": "2017-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AR",
"license": "3719",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AR",
"license": "3719",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "177999608",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bryant, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.