West Memphis Pediatric Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

3647 Issued in AR

Legal business name

WEST MEMPHIS PEDIATRIC DENTISTRY

Practice address

303 Bancario Ste 11-12
Marion, AR 72364-2825

Phone

(870) 739-2992

Fax

(870) 739-8597

NPI assigned

Nov 15, 2016

Organization subpart

No

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

Authorized official

Name

Dr. John Michael Burrows, DDSNPI 1225211196

Title

Owner

Phone

(870) 739-2992

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Michael Burrows, D.D.S.

  • Pediatric Dentistry
  • Marion, AR
  • NPI 1225211196
  NPD (past) Authorized official
• Shauna Tanner, D.D.S.

  • Dentist
  • Marion, AR
  • NPI 1497076715
  NPD (past)

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

{
    "created_epoch": "1479168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479168000000",
    "number": "1154863637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 W TYLER AVE",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723014225",
            "telephone_number": "870-735-5439",
            "fax_number": "870-739-8597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 BANCARIO STE 11-12",
            "city": "MARION",
            "state": "AR",
            "postal_code": "723642825",
            "telephone_number": "870-739-2992",
            "fax_number": "870-739-8597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST MEMPHIS PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-15",
        "last_updated": "2016-11-15",
        "status": "A",
        "authorized_official_last_name": "BURROWS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-739-2992",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AR",
            "license": "3647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krystal Weaver
• Catherine M Webb, LCSW
• Holly Malone Webber, RN
• Alan Mark Weiss, MHPP
• Felice Wener, MD
• Holley Whited, PHARM D
• Kristy Anne Whited, FNP-C
• Cristina Whitfield, MHPP
• Ellen Whittington
• Angela Williams

• Dental Clinic/Center in Marion, AR
• Providers in Marion, AR by specialty
• Dental Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.