Austin James Monroe Ingram, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4371 Issued in AR

Practice address

2702 S Main St
Stuttgart, AR 72160-7038

Phone

(870) 673-7181

Fax

(870) 672-4554

NPI assigned

Jun 27, 2019

Last updated

Jun 27, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1154982338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2702 S MAIN ST",
            "city": "STUTTGART",
            "state": "AR",
            "postal_code": "721607038",
            "telephone_number": "870-673-7181",
            "fax_number": "870-672-4554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2702 S MAIN ST",
            "city": "STUTTGART",
            "state": "AR",
            "postal_code": "721607038",
            "telephone_number": "870-673-7181",
            "fax_number": "870-672-4554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGRAM",
        "first_name": "AUSTIN",
        "middle_name": "JAMES MONROE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-27",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "4371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Hooks, A.P.N.
• Hord Medical Group, P.a.
• Marion E Hord, M.D.
• Emily Anne Howard, M.S CF SLP
• Emily A Huddleston, MSE, ECSE
• Melissa Blair Keller, APN
• Seth Kleinbeck, M.D.
• Connor Hope Konecny, MS, CF-SLP
• Lisa M. Kyzer, CRNA
• Candy S Ladd, BA, MHPP

• General Practice Dentistry in Stuttgart, AR
• Providers in Stuttgart, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; 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.