Organization Active NPI

Kids Choice Fort Smith

  • Dentist
  • Fort Smith, AR
National Provider Identifier
1144676214
Registry record updated May 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3101 Issued in AR
Legal business name
KIDS CHOICE FORT SMITH
Practice address
1501 S Waldron Rd
Suite 200
Fort Smith, AR 72903-2574
Phone
(479) 452-8650
NPI assigned
May 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2016

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

Authorized official

Name
Dr. Todd Stewart, DDS
Title
Owner
Phone
(870) 816-5973

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 3101 AR Primary

Addresses

Primary practice location

1501 S Waldron Rd
Suite 200
Fort Smith, AR 72903-2574

Mailing address

12018 Chenal Pkwy
Little Rock, AR 72211-2759
Phone (870) 816-5973

National Provider Directory

National Provider Directory

Locations

1501 S Waldron Rd
Ste 200
Fort Smith, AR 72903
Phone (479) 388-0400

7801 Phoenix Ave
Fort Smith, AR 72903
Phone (479) 306-6156

NPI Registry JSON

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

{
    "created_epoch": "1462752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462752000000",
    "number": "1144676214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12018 CHENAL PKWY",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722112759",
            "telephone_number": "870-816-5973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 S WALDRON RD",
            "address_2": "SUITE 200",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729032574",
            "telephone_number": "479-452-8650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS CHOICE FORT SMITH",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-09",
        "last_updated": "2016-05-09",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-816-5973",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AR",
            "license": "3101",
            "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 May 9, 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.