Organization Active NPI

Hot Spring Village Dentistry

  • General Practice Dentistry
  • Hot Springs Village, AR
National Provider Identifier
1144242736
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2947 Issued in AR
Legal business name
HOT SPRING VILLAGE DENTISTRY
Practice address
101 Dentista Dr
Hot Springs Village, AR 71909-3503
Phone
(501) 922-6700
Fax
(501) 922-6357
NPI assigned
Jul 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Dr. Jeffery C Fusilier, DDS
Title
President
Phone
(501) 922-6700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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

National Provider Directory

National Provider Directory
Tax ID family
Hot Spring Village Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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": "1153699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1144242736",
    "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": {
        "organization_name": "HOT SPRING VILLAGE DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-24",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "FUSILIER",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-922-6700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  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

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.