Organization Active NPI

John C. Bain, DDS, PA

  • General Practice Dentistry
  • Farmington, AR
National Provider Identifier
1093734188
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2408 Issued in AR
Legal business name
JOHN C. BAIN, DDS, PA
Practice address
82 Southwinds Rd
Farmington, AR 72730-8660
Phone
(479) 267-4900
NPI assigned
Jul 19, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John C Bain, DDSNPI 1669503959
Title
Owner, Dentist
Phone
(479) 267-4900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2408 AR Primary

Addresses

Primary practice location

82 Southwinds Rd
Farmington, AR 72730-8660

Mailing address

PO Box 1570
Farmington, AR 72730-1570

Other names 1

  • Dental Implant & Smile Professionals, John C. Bain, Family Dentistry Other name

National Provider Directory

National Provider Directory

Locations

82 Southwinds Rd
Farmington, AR 72730
Phone (479) 267-2266

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093734188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1570",
            "city": "FARMINGTON",
            "state": "AR",
            "postal_code": "727301570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 SOUTHWINDS RD",
            "city": "FARMINGTON",
            "state": "AR",
            "postal_code": "727308660",
            "telephone_number": "479-267-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN C. BAIN, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAIN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER, DENTIST",
        "authorized_official_telephone_number": "479-267-4900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "2408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Implant & Smile Professionals, John C. Bain, Family Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Farmington, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.