Active NPI
D.Dean Kumpuris,M.D.and Glenn R.Davis,M.D.,P.a.
- Gastroenterology Physician
- Little Rock, AR
National Provider Identifier
1093777419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- MC0685
- Legal business name
- D.DEAN KUMPURIS,M.D.AND GLENN R.DAVIS,M.D.,P.A.
- Practice address
- 417 N University Ave
Little Rock, AR 72205-3108 - Phone
- (501) 666-0249
- Fax
- (501) 666-4340
- NPI assigned
- Apr 3, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sharon Kay Lewis
- Title
- Office Manager
- Phone
- (501) 666-0249
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | MC0685 | AR | Primary |
Addresses
Primary practice location
417 N University Ave
Little Rock, AR 72205-3108
Mailing address
417 N University Ave
Little Rock, AR 72205-3108
Phone (501) 666-0249
Other names 1
- Kumpuris and Davis M.D., P.A.
National Provider Directory
National Provider DirectoryLocations
417 N University Ave
Little Rock, AR 72205
Phone (501) 664-0249
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Little Rock, AR
- NPI 1932197118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144022400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1093777419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "417 N UNIVERSITY AVE",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722053108",
"telephone_number": "501-666-0249",
"fax_number": "501-666-4340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "417 N UNIVERSITY AVE",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722053108",
"telephone_number": "501-666-0249",
"fax_number": "501-666-4340"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "D.DEAN KUMPURIS,M.D.AND GLENN R.DAVIS,M.D.,P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-03",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LEWIS",
"authorized_official_first_name": "SHARON",
"authorized_official_middle_name": "KAY",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "501-666-0249"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "AR",
"license": "MC0685",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Kumpuris and Davis M.D., P.A.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Little Rock, 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.