NPIMap

Organization Active NPI

Northeast Arkansas Dentistry

  • Dentist
  • Jonesboro, AR
National Provider Identifier
1124385570
Registry record updated Apr 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3298 Issued in AR
Legal business name
NORTHEAST ARKANSAS DENTISTRY
Practice address
900 Southwest Dr
Jonesboro, AR 72401-7051
Phone
(870) 931-6323
Fax
(870) 932-4905
NPI assigned
Apr 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2012

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

Authorized official

Name
Joseph S Spades, DDS
Title
Owner
Phone
(870) 931-6323

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 3298 AR Primary

Addresses

Primary practice location

900 Southwest Dr
Jonesboro, AR 72401-7051

Mailing address

900 Southwest Dr
Jonesboro, AR 72401-7051
Phone (870) 931-6323

National Provider Directory

National Provider Directory

Locations

900 Southwest Dr
Jonesboro, AR 72401
Phone (870) 931-6323

NPI Registry JSON

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

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335139200000",
    "number": "1124385570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 SOUTHWEST DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724017051",
            "telephone_number": "870-931-6323",
            "fax_number": "870-932-4905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 SOUTHWEST DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724017051",
            "telephone_number": "870-931-6323",
            "fax_number": "870-932-4905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST ARKANSAS DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-23",
        "last_updated": "2012-04-23",
        "status": "A",
        "authorized_official_last_name": "SPADES",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-931-6323",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AR",
            "license": "3298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; 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.