Organization Active NPI

Northeast Arkansas Pediatric Dentistry PLLC

  • Pediatric Dentistry
  • Paragould, AR
National Provider Identifier
1215541271
Registry record updated Sep 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
NORTHEAST ARKANSAS PEDIATRIC DENTISTRY PLLC
Practice address
2709 W Kingshighway Ste 4
Paragould, AR 72450-2644
Phone
(870) 926-8948
NPI assigned
Sep 6, 2020
Last updated
Sep 6, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2020

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

Authorized official

Name
Kathryn McCaa Hiegert, DDSNPI 1083006357
Title
Owner
Phone
(870) 926-8948

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

2709 W Kingshighway Ste 4
Paragould, AR 72450-2644

Mailing address

2709 W Kingshighway Ste 4
Paragould, AR 72450-2644
Phone (870) 926-8948

National Provider Directory

National Provider Directory

Locations

2709 W Kingshighway
Ste 4
Paragould, AR 72450
Phone (870) 926-8948

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1599350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599350400000",
    "number": "1215541271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2709 W KINGSHIGHWAY STE 4",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724502644",
            "telephone_number": "870-926-8948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2709 W KINGSHIGHWAY STE 4",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724502644",
            "telephone_number": "870-926-8948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST ARKANSAS PEDIATRIC DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-06",
        "last_updated": "2020-09-06",
        "certification_date": "2020-09-06",
        "status": "A",
        "authorized_official_last_name": "HIEGERT",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "MCCAA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-926-8948",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paragould, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.