Individual provider Active NPI

Heather V Adams, DDS

  • General Practice Dentistry
  • Rogers, AR
National Provider Identifier
1164734182
Registry record updated Apr 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3777 Issued in AR
Practice address
4805 W Highland Knolls Rd Ste 300
Rogers, AR 72758-7027
Phone
(479) 340-0966
Fax
(479) 202-5165
NPI assigned
Jul 7, 2010
Last updated
Apr 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2019

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 3777 AR Primary

Addresses

Primary practice location

4805 W Highland Knolls Rd Ste 300
Rogers, AR 72758-7027

Mailing address

4805 W Highland Knolls Rd Ste 300
Rogers, AR 72758-7027
Phone (479) 340-0966

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

NPI Registry JSON

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

{
    "created_epoch": "1278460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554940800000",
    "number": "1164734182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4805 W HIGHLAND KNOLLS RD STE 300",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727587027",
            "telephone_number": "479-340-0966",
            "fax_number": "479-202-5165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4805 W HIGHLAND KNOLLS RD STE 300",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727587027",
            "telephone_number": "479-340-0966",
            "fax_number": "479-202-5165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "HEATHER",
        "middle_name": "V",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-07",
        "last_updated": "2019-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "3777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.