Active NPI
Roy E Denton MD PA
- Internal Medicine Physician
- Conway, AR
National Provider Identifier
1093837619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- C7072
- Legal business name
- ROY E DENTON MD PA
- Practice address
- 2210 Robinson Ave
Conway, AR 72034-4943 - Phone
- (501) 932-3500
- Fax
- (501) 932-3520
- NPI assigned
- Apr 4, 2007
- 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
- Neida Byrd
- Title
- Billiing Manager
- Phone
- (901) 737-3071
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | C7072 | AR | Primary |
Addresses
Primary practice location
2210 Robinson Ave
Conway, AR 72034-4943
Mailing address
1138 N Germantown Pkwy # 101-377
Cordova, TN 38016-5872
Phone (901) 737-3071
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 116106001 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2513 McCain Blvd
#2377
North Little Rock, AR 72116
228 W Tyler Ave
Ste 107
West Memphis, AR 72301
Phone (870) 735-0073
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Conway, AR
- NPI 1437107703
-
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Cordova, TN
- NPI 1477671238
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1519171200000",
"number": "1093837619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1138 N GERMANTOWN PKWY # 101-377",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380165872",
"telephone_number": "901-737-3071",
"fax_number": "901-328-1888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2210 ROBINSON AVE",
"city": "CONWAY",
"state": "AR",
"postal_code": "720344943",
"telephone_number": "501-932-3500",
"fax_number": "501-932-3520"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROY E DENTON MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-04",
"last_updated": "2018-02-21",
"status": "A",
"authorized_official_last_name": "BYRD",
"authorized_official_first_name": "NEIDA",
"authorized_official_title_or_position": "BILLIING MANAGER",
"authorized_official_telephone_number": "901-737-3071"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "AR",
"license": "C7072",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "116106001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Conway, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.