Organization Active NPI

Grammer Dental Clinic

  • General Practice Dentistry
  • Batesville, AR
National Provider Identifier
1184742587
Registry record updated Aug 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2486 Issued in AR
Legal business name
GRAMMER DENTAL CLINIC
Practice address
184 N 5TH St
Batesville, AR 72501-4609
Phone
(870) 793-2482
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2007

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

Authorized official

Name
Dr. J Stanley Grammer, DMD
Title
Owner
Phone
(870) 793-2482

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2486 AR Primary

Addresses

Primary practice location

184 N 5TH St
Batesville, AR 72501-4609

Mailing address

184 N 5TH St
Batesville, AR 72501-4609
Phone (870) 793-2482

Other identifiers 1

IdentifierTypeStateIssuer
134973631MedicaidAR

National Provider Directory

National Provider Directory

Locations

184 N 5th St
Batesville, AR 72501
Phone (870) 793-2482

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188432000000",
    "number": "1184742587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 N 5TH ST",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725014609",
            "telephone_number": "870-793-2482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 N 5TH ST",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725014609",
            "telephone_number": "870-793-2482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAMMER DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-08-30",
        "status": "A",
        "authorized_official_last_name": "GRAMMER",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "STANLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-793-2482",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "2486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134973631",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Batesville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; 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.