Active NPI
Arkansas Pediatric Dentistry
- Pediatric Dentistry
- Little Rock, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- Legal business name
- ARKANSAS PEDIATRIC DENTISTRY
- Practice address
- 5905 W 12TH St
Little Rock, AR 72204-1608 - Phone
- (501) 812-3109
- NPI assigned
- Mar 7, 2014
- 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
- Cara Jones, D.D.S.
- Title
- President/Dentist
- Phone
- (501) 812-3109
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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | AR | Primary |
Addresses
Primary practice location
5905 W 12TH St
Little Rock, AR 72204-1608
Mailing address
5905 W 12TH St
Little Rock, AR 72204-1608
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200887631 | Medicaid | AR |
National Provider Directory
National Provider Directory- Tax ID family
- Arkansas Pediatric Dentistry
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pediatric Dentistry
- Little Rock, AR
- NPI 1003258245
Practitioners & 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.
-
- Pediatric Dentistry
- Little Rock, AR
- NPI 1386849362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1394150400000",
"number": "1174949622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5905 W 12TH ST",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722041608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5905 W 12TH ST",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722041608",
"telephone_number": "501-812-3109"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARKANSAS PEDIATRIC DENTISTRY",
"organizational_subpart": "NO",
"enumeration_date": "2014-03-07",
"last_updated": "2014-03-07",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "CARA",
"authorized_official_title_or_position": "PRESIDENT/DENTIST",
"authorized_official_telephone_number": "501-812-3109",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "AR",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200887631",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Little Rock, AR
- Arkansas Pain Centers LTD
- Arkansas Pathology Associates PA
- Arkansas Pediatric Clinic, PLLC
- Arkansas Pediatric Clinic, PLLC
- Arkansas Pediatric Dentistry
- Arkansas Pelvic Health PLLC
- Arkansas Perinatal Services
- Arkansas Periodontal Associates
- Arkansas Physicians Eyecare Group Campen, P.a.
- Arkansas Plastic Surgery, P.a.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.