Active NPI
Alexander Charles Dozier, DDS
- General Practice Dentistry
- Sherwood, AR
National Provider Identifier
1184186777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 11398
- Practice address
- 7522 Highway 107
Sherwood, AR 72120-4645 - Phone
- (501) 834-4800
- Fax
- (501) 833-1414
- NPI assigned
- Apr 2, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 11398 | TN | Primary |
Addresses
Primary practice location
7522 Highway 107
Sherwood, AR 72120-4645
Mailing address
7522 Highway 107
Sherwood, AR 72120-4645
Phone (501) 834-4800
Other practice location 1
815 Gallatin Ave
Nashville, TN 37206-3239
Phone (870) 476-3623
Other practice location 2
4301 West Markham, Slot 624
Little Rock, AR 72205
Phone (501) 686-8089
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190703000351 | AR | Order and Referring Only - Dentist | 1456685908 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11398 | TN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638748800000",
"number": "1184186777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7522 HIGHWAY 107",
"city": "SHERWOOD",
"state": "AR",
"postal_code": "721204645",
"telephone_number": "501-834-4800",
"fax_number": "501-833-1414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7522 HIGHWAY 107",
"city": "SHERWOOD",
"state": "AR",
"postal_code": "721204645",
"telephone_number": "501-834-4800",
"fax_number": "501-833-1414"
}
],
"practiceLocations": [
{
"address_1": "815 Gallatin Ave",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372063239",
"country_code": "US",
"telephone_number": "870-476-3623",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4301 West Markham, Slot 624",
"address_purpose": "LOCATION",
"city": "Little Rock",
"state": "AR",
"postal_code": "72205",
"country_code": "US",
"telephone_number": "501-686-8089",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOZIER",
"first_name": "ALEXANDER",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-04-02",
"last_updated": "2021-12-06",
"certification_date": "2021-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TN",
"license": "11398",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sherwood, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.