Individual provider Active NPI

Jeffrey Charles Fusilier, DDS

  • General Practice Dentistry
  • Hot Springs Village, AR
National Provider Identifier
1114362043
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2947 Issued in AR
Practice address
101 Dentista Dr
Hot Springs Village, AR 71909-3503
Phone
(501) 922-6700
Fax
(501) 922-6357
NPI assigned
May 6, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2947 AR Primary

Addresses

Primary practice location

101 Dentista Dr
Hot Springs Village, AR 71909-3503

Mailing address

101 Dentista Dr
Hot Springs Village, AR 71909-3503
Phone (501) 922-6700

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170519002115 AR Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5092036491

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2947ARMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey C. Fusilier, DDS PA General Practice CurrentSince Jan 6, 1997 Accepting new patients
Hot Spring Village Dentistry General Practice Current Accepting new patients

Locations

101 Dentista Dr
Hot Springs Village, AR 71909
Phone (501) 922-6700

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1367798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1114362043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 DENTISTA DR",
            "city": "HOT SPRINGS VILLAGE",
            "state": "AR",
            "postal_code": "719093503",
            "telephone_number": "501-922-6700",
            "fax_number": "501-922-6357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 DENTISTA DR",
            "city": "HOT SPRINGS VILLAGE",
            "state": "AR",
            "postal_code": "719093503",
            "telephone_number": "501-922-6700",
            "fax_number": "501-922-6357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUSILIER",
        "first_name": "JEFFREY",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-06",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "2947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs Village, AR

Sources for this page

Verify at the official NPI Registry.