Active NPI
Nicholas McRae Culpepper, D.D.S.
- General Practice Dentistry
- Rogers, AR
National Provider Identifier
1083055701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3954
- Practice address
- 5501 W Pinnacle Pointe Dr Ste 1
Rogers, AR 72758-8133 - Phone
- (479) 936-8877
- NPI assigned
- Jul 10, 2013
- 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 | 3954 | AR | Primary |
Addresses
Primary practice location
5501 W Pinnacle Pointe Dr Ste 1
Rogers, AR 72758-8133
Mailing address
5501 W Pinnacle Pointe Dr Ste 1
Rogers, AR 72758-8133
Phone (479) 936-8877
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 |
|---|---|---|---|
| 3954 | AR | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733184000000",
"number": "1083055701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5501 W PINNACLE POINTE DR STE 1",
"city": "ROGERS",
"state": "AR",
"postal_code": "727588133",
"telephone_number": "479-936-8877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5501 W PINNACLE POINTE DR STE 1",
"city": "ROGERS",
"state": "AR",
"postal_code": "727588133",
"telephone_number": "479-936-8877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CULPEPPER",
"first_name": "NICHOLAS",
"middle_name": "MCRAE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-07-10",
"last_updated": "2024-12-03",
"certification_date": "2024-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AR",
"license": "3954",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rogers, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.