Organization Active NPI

David F Brockman

  • Dentist
  • North Little Rock, AR
National Provider Identifier
1154583771
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2516 Issued in AR
Legal business name
DAVID F BROCKMAN
Practice address
2524 Crestwood Rd
Suite 2
North Little Rock, AR 72116-7623
Phone
(501) 753-7366
NPI assigned
Jun 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Dr. David F Brockman, DDS
Title
Dentist
Phone
(501) 753-7366

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 2516 AR Primary

Addresses

Primary practice location

2524 Crestwood Rd
Suite 2
North Little Rock, AR 72116-7623

Mailing address

2524 Crestwood Rd
Suite 2
North Little Rock, AR 72116-7623
Phone (501) 753-7366

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1154583771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2524 CRESTWOOD RD",
            "address_2": "SUITE 2",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721167623",
            "telephone_number": "501-753-7366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2524 CRESTWOOD RD",
            "address_2": "SUITE 2",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721167623",
            "telephone_number": "501-753-7366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID F BROCKMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-25",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "BROCKMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "501-753-7366",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AR",
            "license": "2516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.