NPIMap

Organization Active NPI

DRS Weddle and Baumsardner

  • Dentist
  • El Dorado, AR
National Provider Identifier
1134485170
Registry record updated Apr 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1967 Issued in AR
Legal business name
DRS WEDDLE AND BAUMSARDNER
Practice address
106 West Main St. 212
El Dorado, AR 71730
Phone
(870) 863-8161
Fax
(870) 863-8356
NPI assigned
Apr 4, 2012
Last updated
Apr 4, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2012

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

Authorized official

Name
Dr. Dean T. Weddle, DDSNPI 1174638498
Title
Owner
Phone
(870) 863-8161

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 1967 AR Primary

Addresses

Primary practice location

106 West Main St. 212
El Dorado, AR 71730

Mailing address

106 West Main Suite 212
DRS Weddle & Baumsardner
El Dorado, AR 71730
Phone (870) 863-8161

National Provider Directory

National Provider Directory

Locations

106 W Main St
Ste 212
El Dorado, AR 71730
Phone (870) 863-8161

Practitioners & affiliated clinicians

Practitioners 2

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": "1333497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333497600000",
    "number": "1134485170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 WEST MAIN SUITE 212",
            "address_2": "DRS WEDDLE & BAUMSARDNER",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "71730",
            "telephone_number": "870-863-8161",
            "fax_number": "870-863-8356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 WEST MAIN ST. 212",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "71730",
            "telephone_number": "870-863-8161",
            "fax_number": "870-863-8356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS WEDDLE AND BAUMSARDNER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-04",
        "last_updated": "2012-04-04",
        "status": "A",
        "authorized_official_last_name": "WEDDLE",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-863-8161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AR",
            "license": "1967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.