Samuel F. Jirik, DDS PA

Primary specialty

DentistTaxonomy code 122300000X

License

AR2741 Issued in AR

Practice address

606 W Main St
Cabot, AR 72023-2423

Phone

(501) 843-9561

Fax

(501) 843-5971

NPI assigned

Jan 10, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Samuel F. Jirik DDS PA

  • General Practice Dentistry
  • Cabot, AR
  • NPI 1154273548
  NPD Authorized official
• PLW Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Oklahoma City, OK
  • NPI 1700040680
  NPD (past)

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1114076759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 W MAIN ST",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720232423",
            "telephone_number": "501-843-9561",
            "fax_number": "501-843-5971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 W MAIN ST",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720232423",
            "telephone_number": "501-843-9561",
            "fax_number": "501-843-5971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIRIK",
        "first_name": "SAMUEL",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "DDS PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AR",
            "license": "AR2741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "2741",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER",
            "identifier": "59168",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA PROVIDER",
            "identifier": "625384",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Elizabeth Jenkins, APRN
• Jennifer L. Price, DNP, Aprn, PLLC
• Michael Jerkins, M.D.
• Jerry L Harvey, DO, PA
• Kimberly Jimerson
• Joe Abrams, MD PA
• Aleshia C Johnson
• Antoinette Johnson, FNP-C
• Christopher Johnson, PHD
• Heather Danelle Johnson

• Dentist in Cabot, AR
• Providers in Cabot, AR by specialty
• Dentist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.