Organization Active NPI

R & S Dental Services LLC

  • General Practice Dentistry
  • Fort Smith, AR
National Provider Identifier
1134498629
Registry record updated Dec 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2787 Issued in AR
Legal business name
R & S DENTAL SERVICES LLC
Practice address
5505 Euper LN
Suite B
Fort Smith, AR 72903-3233
Phone
(479) 650-3257
Fax
(479) 478-6122
NPI assigned
Dec 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2011

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

Authorized official

Name
Mr. Kendall Roberts, D.D.S.
Title
Treasurer
Phone
(479) 650-3257

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 2787 AR Primary

Addresses

Primary practice location

5505 Euper LN
Suite B
Fort Smith, AR 72903-3233

Mailing address

5505 Euper LN
Suite B
Fort Smith, AR 72903-3233
Phone (479) 650-3257

National Provider Directory

National Provider Directory

Locations

5505 Euper Ln
#B
Fort Smith, AR 72903
Phone (479) 478-6060

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1325116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325116800000",
    "number": "1134498629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5505 EUPER LN",
            "address_2": "SUITE B",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729033233",
            "telephone_number": "479-650-3257",
            "fax_number": "479-478-6122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 EUPER LN",
            "address_2": "SUITE B",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729033233",
            "telephone_number": "479-650-3257",
            "fax_number": "479-478-6122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R & S DENTAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-29",
        "last_updated": "2011-12-29",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "KENDALL",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "479-650-3257",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "2787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; 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.