Gateway Ventures LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

GATEWAY VENTURES LLC

Doing business as

Arkansas Orthodontics

Practice address

3782 N Front St
Suite 1
Fayetteville, AR 72703-5128

Phone

(479) 443-1705

Fax

(479) 443-1586

NPI assigned

Apr 4, 2013

Organization subpart

No

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

Authorized official

Name

Benjamin Burris, D.D.S., M.D.S.

Title

Owner

Phone

(479) 443-1705

Specialties & licenses 1

Addresses

Other names 1

• Arkansas Orthodontics Doing business as

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

{
    "created_epoch": "1365033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365033600000",
    "number": "1083957351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3782 N FRONT ST",
            "address_2": "SUITE 1",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035128",
            "telephone_number": "479-443-1705",
            "fax_number": "479-443-1586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3782 N FRONT ST",
            "address_2": "SUITE 1",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035128",
            "telephone_number": "479-443-1705",
            "fax_number": "479-443-1586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY VENTURES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-04",
        "last_updated": "2013-04-04",
        "status": "A",
        "authorized_official_last_name": "BURRIS",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-443-1705",
        "authorized_official_credential": "D.D.S., M.D.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arkansas Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kipton Luke Garrett, MD
• Michelle Leigh Garrett, MHPP
• Whitney Leigh Garrison, OTR
• Kimberly Gasner
• Anita Marie Gateley, LCSW
• Saxyam Gautam
• Toni Gawthrop, RN
• Grant Gebhardt, BSN, RN
• Stephen B Gemmell, PHD
• Gene Chambers PHD PLLC

• Orthodontics and Dentofacial Orthopedics Dentistry in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2013; 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.