Active NPI
Grammer Dental Clinic
- General Practice Dentistry
- Batesville, AR
National Provider Identifier
1184742587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2486
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 134973631 | Medicaid | AR |
National Provider Directory
National Provider DirectoryLocations
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.