Organization Active NPI

Rosetta Shelby-Calvin, DMD, P.a.

Doing business as Affordable Dentures & Implants - Little Rock

  • General Practice Dentistry
  • Little Rock, AR
National Provider Identifier
1205588274
Registry record updated Jan 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ROSETTA SHELBY-CALVIN, DMD, P.A.
Doing business as
Affordable Dentures & Implants - Little Rock
Practice address
10912 Colonel Glenn Rd Ste 3500
Little Rock, AR 72204-8241
Phone
(877) 297-6743
NPI assigned
Jan 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2022

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

Authorized official

Name
Rosetta Shelby-Calvin, DMD
Title
Owner
Phone
(877) 097-6743

Specialties & licenses 1

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

Addresses

Primary practice location

10912 Colonel Glenn Rd Ste 3500
Little Rock, AR 72204-8241

Mailing address

10912 Colonel Glenn Rd Ste 3500
Little Rock, AR 72204-8241
Phone (877) 297-6743

Other names 1

  • Affordable Dentures & Implants - Little Rock Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1642723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642723200000",
    "number": "1205588274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10912 COLONEL GLENN RD STE 3500",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722048241",
            "telephone_number": "877-297-6743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10912 COLONEL GLENN RD STE 3500",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722048241",
            "telephone_number": "877-297-6743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSETTA SHELBY-CALVIN, DMD, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-21",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A",
        "authorized_official_last_name": "SHELBY-CALVIN",
        "authorized_official_first_name": "ROSETTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "877-097-6743",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affordable Dentures & Implants - Little Rock",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; 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.