NPIMap

Organization Active NPI

Dental Health Associates of Arkansas, P.a.

Doing business as Dental Care of Fayetteville

  • General Practice Dentistry
  • Fayetteville, AR
National Provider Identifier
1134549132
Registry record updated Sep 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DENTAL HEALTH ASSOCIATES OF ARKANSAS, P.A.
Doing business as
Dental Care of Fayetteville
Practice address
2868 W Martin Luther King Blvd
Fayetteville, AR 72704-7625
Phone
(479) 249-8181
NPI assigned
Apr 17, 2014
Last updated
Sep 2, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
DENTAL HEALTH ASSOCIATES OF ARKANSAS, P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 2, 2016

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

Authorized official

Name
Hannah Bear
Title
Credentialing Coordinator
Phone
(217) 540-5699

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

2868 W Martin Luther King Blvd
Fayetteville, AR 72704-7625

Mailing address

2868 W Martin Luther King Blvd
Fayetteville, AR 72704-7625

Other names 1

  • Dental Care of Fayetteville Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dr Johnny Pearce7 organizations share this tax ID, including this one
Part of
Dr Johnny Pearce

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2868 W Martin Luther King Jr Blvd
Fayetteville, AR 72704
Phone (479) 249-8181

NPI Registry JSON

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

{
    "created_epoch": "1397692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472774400000",
    "number": "1134549132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2868 W MARTIN LUTHER KING BLVD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727047625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2868 W MARTIN LUTHER KING BLVD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727047625",
            "telephone_number": "479-249-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL HEALTH ASSOCIATES OF ARKANSAS, P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENTAL HEALTH ASSOCIATES OF ARKANSAS, P.A.",
        "enumeration_date": "2014-04-17",
        "last_updated": "2016-09-02",
        "status": "A",
        "authorized_official_last_name": "BEAR",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "217-540-5699"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Care of Fayetteville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; 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.