NPIMap

Organization Active NPI

Sanders, Tompkins, Schiro, Landers and Sanders PLLC

  • Pediatric Dentistry
  • Fayetteville, AR
National Provider Identifier
1154401057
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
SANDERS, TOMPKINS, SCHIRO, LANDERS AND SANDERS PLLC
Practice address
1607 E Rainforest Dr
Fayetteville, AR 72703-5385
Phone
(479) 582-0600
Fax
(479) 443-4630
NPI assigned
Oct 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Authorized official

Name
Rocio Rodriguez
Title
Human Resources Coordinator
Phone
(479) 582-0600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X AR Primary

Addresses

Primary practice location

1607 E Rainforest Dr
Fayetteville, AR 72703-5385

Mailing address

1607 E Rainforest Dr
Fayetteville, AR 72703-5385
Phone (479) 582-0600

Other identifiers 4

IdentifierTypeStateIssuer
157248631MedicaidAR
5C635OtherARBCBS,HEALTH ADVANTAGE
414939OtherKSBCBS OF KS
1400699OtherARUCCI/US ABLE PROVIDER

Other names 1

  • Pediatric Dental Associates and Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

1607 E Rainforest Rd
Fayetteville, AR 72703
Phone (479) 582-0600

Practitioners & affiliated clinicians

Practitioners 7

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": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1154401057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 E RAINFOREST DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035385",
            "telephone_number": "479-582-0600",
            "fax_number": "479-443-4630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 E RAINFOREST DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035385",
            "telephone_number": "479-582-0600",
            "fax_number": "479-443-4630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDERS, TOMPKINS, SCHIRO, LANDERS AND SANDERS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "ROCIO",
        "authorized_official_title_or_position": "HUMAN RESOURCES COORDINATOR",
        "authorized_official_telephone_number": "479-582-0600"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157248631",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS,HEALTH ADVANTAGE",
            "identifier": "5C635",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KS",
            "identifier": "414939",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCCI/US ABLE PROVIDER",
            "identifier": "1400699",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Dental Associates and Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pediatric Dental Associates and Orthodontics",
            "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 Jun 12, 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.