John Pardo, DDS , PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

JOHN PARDO, DDS , PLLC

Doing business as

Buchanan Street Family Dentistry

Practice address

401 E Buchanan St
Prairie Grove, AR 72753-2907

Phone

(479) 846-1005

NPI assigned

Mar 15, 2022

Last updated

Mar 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John Pardo, DDSNPI 1609238807

Title

Owner Dentist

Phone

(214) 538-3545

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Buchanan Street Family Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Pardo, D.D.S.

  • Student in an Organized Health Care Education/Training Program
  • Little Rock, AR
  • NPI 1609238807
  NPD Authorized official

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

{
    "created_epoch": "1647302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647820800000",
    "number": "1093463424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E BUCHANAN ST",
            "city": "PRAIRIE GROVE",
            "state": "AR",
            "postal_code": "727532907",
            "telephone_number": "214-538-3545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E BUCHANAN ST",
            "city": "PRAIRIE GROVE",
            "state": "AR",
            "postal_code": "727532907",
            "telephone_number": "479-846-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN PARDO, DDS , PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-15",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A",
        "authorized_official_last_name": "PARDO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "214-538-3545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1609238807",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Buchanan Street Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tracy Houston, ATC
• Angie Hunton, MNSC, RNC OB
• Brianna Michele Jackson, HHA
• Jennifer Bingham MD PLLC
• Kristin Leigh Jeremiah, BSN,RN
• Jonathan F. Shaver, O.D.
• Bonnie Kay Kragel, DC
• Kathryn Elizabeth Lazure, NP
• Ron D Lee, MD
• Lindsey Gipson LLC (Rae of Hope Counseling)

• Dental Clinic/Center in Prairie Grove, AR
• Providers in Prairie Grove, AR by specialty
• Dental Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; 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.