Kapiolani M Plichta, DDS

Individual provider Active NPI General Practice Dentistry · Little Rock Afb, AR

NPI 1093562373 · NPPES record last updated Feb 17, 2026

Key facts

NPI
1093562373
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
12014421A (IN)
Practice address
1090 Arnold Dr
Little Rock Afb, AR 72099-4933
Phone
(501) 987-7304
NPI assigned
May 3, 2024
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20260625005094 AR Order and Referring Only - Dentist
Practitioner - Dentist
3476026808

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
12014421AINMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12014421A IN Yes

Addresses

Primary practice location

1090 Arnold Dr
Little Rock Afb, AR 72099-4933

Mailing address

1090 Arnold Dr
Little Rock Afb, AR 72099-4933
Phone (501) 987-7304

Other names

  • Kapiolani M Wisler Former name

Other providers in Little Rock Afb, AR

All providers in Little Rock Afb, AR · General Practice Dentistry in Arkansas

Sources for this page

Verify at the official NPI Registry.