Active NPI
Arkansas River Valley Dentistry
- Dental Clinic/Center
- Clarksville, AR
National Provider Identifier
1174768758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- ARKANSAS RIVER VALLEY DENTISTRY
- Practice address
- 1101 E Poplar St
Clarksville, AR 72830-4420 - Phone
- (479) 754-3357
- Fax
- (479) 754-0167
- NPI assigned
- Dec 10, 2008
- Last updated
- Mar 1, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. James R Cook, DDS
- Title
- Owner
- Phone
- (479) 754-3357
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | NU | Primary |
Addresses
Primary practice location
1101 E Poplar St
Clarksville, AR 72830-4420
Mailing address
1101 E Poplar St
Clarksville, AR 72830-4420
Phone (479) 754-3357
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105845608 | Medicaid | AR |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dentist
- Clarksville, AR
- NPI 1871721605
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228867200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1488326400000",
"number": "1174768758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 E POPLAR ST",
"city": "CLARKSVILLE",
"state": "AR",
"postal_code": "728304420",
"telephone_number": "479-754-3357",
"fax_number": "479-754-0167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 E POPLAR ST",
"city": "CLARKSVILLE",
"state": "AR",
"postal_code": "728304420",
"telephone_number": "479-754-3357",
"fax_number": "479-754-0167"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARKANSAS RIVER VALLEY DENTISTRY",
"organizational_subpart": "NO",
"enumeration_date": "2008-12-10",
"last_updated": "2017-03-01",
"status": "A",
"authorized_official_last_name": "COOK",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "479-754-3357",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "105845608",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clarksville, AR
- Archway Chiropractic Health Inc
- Area Agency on Aging of Western Arkansas, Inc (Visiting Nurses Agency of Western Arkansas, Inc.)
- Area Agency on Aging of Western Arkansas, Inc (Visiting Nurses Agency of Western Arkansas, Inc.)
- Arkansas Em-I Byrne Medical Services, PA
- Arkansas Health and Wellness Center
- Stephanie Arnold, RECOVERY ASSISTANT
- Christy Arrietta, CMP
- Ashley G Donaldson PA
- Ludwig James Aszod, LPC
- Lisa Atley-King, RECOVERY ASSISTANT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.