Organization Active NPI

Dr. Karla Baltz, DDS, PA

  • Dentist
  • Pocahontas, AR
National Provider Identifier
1215055967
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DR. KARLA BALTZ, DDS, PA
Practice address
151 Country Club Road
Pocahontas, AR 72455-1364
Phone
(870) 892-1211
Fax
(870) 892-4804
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Angie Declerk
Title
Office Manager
Phone
(870) 892-1211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

151 Country Club Road
Pocahontas, AR 72455-1364

Mailing address

151 Country Club Road
Pocahontas, AR 72455-1364
Phone (870) 892-1211

National Provider Directory

National Provider Directory

Locations

151 Country Club Rd
Pocahontas, AR 72455
Phone (870) 892-1211

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215055967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 COUNTRY CLUB ROAD",
            "city": "POCAHONTAS",
            "state": "AR",
            "postal_code": "724551364",
            "telephone_number": "870-892-1211",
            "fax_number": "870-892-4804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 COUNTRY CLUB ROAD",
            "city": "POCAHONTAS",
            "state": "AR",
            "postal_code": "724551364",
            "telephone_number": "870-892-1211",
            "fax_number": "870-892-4804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. KARLA BALTZ, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DECLERK",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "870-892-1211"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocahontas, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.