Connor William Silvestri, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4171 Issued in AR

Practice address

2386 N Green Acres Rd
Fayetteville, AR 72703-2800

Phone

(479) 442-8500

NPI assigned

Jun 5, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• DRS. Tinnin,Harris & Martin,DDS,PLLC

  • Dentist
  • Fayetteville, AR
  • NPI 1932284924
  NPD (past)

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

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496620800000",
    "number": "1104355122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5840 BRUSH CREEK LOOP",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720348759",
            "telephone_number": "501-339-7542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2386 N GREEN ACRES RD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727032800",
            "telephone_number": "479-442-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVESTRI",
        "first_name": "CONNOR",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-05",
        "last_updated": "2017-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "4171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER'S LICENSE",
            "identifier": "927243860",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Danielle Siebenmorgen
• Andrew B. Sieff, A.P.N., B.C.
• Wilby M Siegler, APRN
• Angel Sigears, PHARMD
• Brandon Sikes, M.S.
• Brentley Jason Silvey, MD
• Rebecca Jane Simmons Brown, OD
• Candice Simmons, PHARM.D.
• Jessica Skye Simmons
• John P. Simmons, M.D.

• General Practice Dentistry in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2017; 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.