Individual provider Active NPI

Abbey Brumley, D.D.S.

  • General Practice Dentistry
  • Springdale, AR
National Provider Identifier
1144848490
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4439 Issued in AR
Practice address
1112 S 48TH St Ste D
Springdale, AR 72762-5886
Phone
(479) 334-0510
NPI assigned
Jul 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4439 AR Primary

Addresses

Primary practice location

1112 S 48TH St Ste D
Springdale, AR 72762-5886

Mailing address

1112 S 48TH St Ste D
Springdale, AR 72762-5886
Phone (479) 334-0510

Other identifiers 1

IdentifierTypeStateIssuer
1144848490OtherN/A

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4439ARMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
BB Dental PLLC General Practice CurrentSince Jun 30, 2024 Accepting new patients
Brum LLC Current Accepting new patients
Smile Center, P.a. General Practice PastSince Oct 1, 2021 Accepting new patients
Crystal Bell Norton DDS PA PastSince Aug 23, 2020 Accepting new patients
River Dental Rogers South, PLLC General Practice PastSince Jun 1, 2022 Accepting new patients

Locations

1112 S 48th St
Ste D
Springdale, AR 72762
Phone (479) 334-0510

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1144848490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 S 48TH ST STE D",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727625886",
            "telephone_number": "479-334-0510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 S 48TH ST STE D",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727625886",
            "telephone_number": "479-334-0510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUMLEY",
        "first_name": "ABBEY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-13",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "4439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "1144848490",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.