NPIMap

Organization Active NPI

Billy C Criswell Inc

  • Dentist
  • Van Buren, AR
National Provider Identifier
1093842601
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
BILLY C CRISWELL INC
Practice address
1607 East Main Street
Van Buren, AR 72956-4735
Phone
(479) 474-7076
Fax
(479) 471-1868
NPI assigned
Feb 28, 2007
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. Byrl Carlton Criswell, DDSNPI 1316992688
Title
President Billy C Criswell Inc
Phone
(479) 474-7076

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1607 East Main Street
Van Buren, AR 72956-4735

Mailing address

1607 East Main Street
Van Buren, AR 72956-4735
Phone (479) 474-7076

National Provider Directory

National Provider Directory
Tax ID family
Billy C Criswell Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1607 Main St
Van Buren, AR 72956
Phone (479) 474-7076

Practitioners & affiliated clinicians

Practitioners 6

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": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093842601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 EAST MAIN STREET",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729564735",
            "telephone_number": "479-474-7076",
            "fax_number": "479-471-1868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 EAST MAIN STREET",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729564735",
            "telephone_number": "479-474-7076",
            "fax_number": "479-471-1868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BILLY C CRISWELL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CRISWELL",
        "authorized_official_first_name": "BYRL",
        "authorized_official_middle_name": "CARLTON",
        "authorized_official_title_or_position": "PRESIDENT BILLY C CRISWELL INC",
        "authorized_official_telephone_number": "479-474-7076",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Buren, 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.