Organization Active NPI

Karla K. Gaines, D.D.S., P.a.

  • General Practice Dentistry
  • Rogers, AR
National Provider Identifier
1235538778
Registry record updated Aug 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3098 Issued in AR
Legal business name
KARLA K. GAINES, D.D.S., P.A.
Practice address
802 N Dixieland Rd
Rogers, AR 72756-3205
Phone
(479) 936-8800
Fax
(479) 936-8808
NPI assigned
Aug 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2014

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

Authorized official

Name
Dr. Karla Kay Gaines, DDSNPI 1265448484
Title
Dentist
Phone
(479) 936-8800

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 3098 AR Primary
Dental Clinic/Center 261QD0000X 3098 AR

Addresses

Primary practice location

802 N Dixieland Rd
Rogers, AR 72756-3205

Mailing address

802 N Dixieland Rd
Rogers, AR 72756-3205
Phone (479) 936-8800

Other identifiers 1

IdentifierTypeStateIssuer
125300608MedicaidAR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1408579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408579200000",
    "number": "1235538778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 N DIXIELAND RD",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727563205",
            "telephone_number": "479-936-8800",
            "fax_number": "479-936-8808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 N DIXIELAND RD",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727563205",
            "telephone_number": "479-936-8800",
            "fax_number": "479-936-8808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARLA K. GAINES, D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-21",
        "last_updated": "2014-08-21",
        "status": "A",
        "authorized_official_last_name": "GAINES",
        "authorized_official_first_name": "KARLA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "479-936-8800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "3098",
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AR",
            "license": "3098",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125300608",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2014; 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.