Drew Bannerman DDS, P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DREW BANNERMAN DDS, P.A.

Practice address

4603 Fairway Ave
North Little Rock, AR 72116-8052

Phone

(501) 771-7744

NPI assigned

Jun 2, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Drew Bannerman, DDS

Title

President

Phone

(501) 256-4256

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591056000000",
    "number": "1235753682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 HERITAGE PARK CIR",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721168528",
            "telephone_number": "501-256-4256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4603 FAIRWAY AVE",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721168052",
            "telephone_number": "501-771-7744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREW BANNERMAN DDS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-02",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A",
        "authorized_official_last_name": "BANNERMAN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "DREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-256-4256",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. Kevin M Dugan D,D,S P.a
• Dr. Paul Dean, D.D.S., P.a.
• Dr. Shaker LTD.
• Adrienne A'Della Dredd
• Hannah Elizabeth Dresser, RD
• Laurel De Werff Drew, OT
• April Elizabeth Drinkwater, LMSW
• Angela R Driskill, MD
• Michelle L Driskill, NP-C
• Patrick E Driver, D.D.S.

• General Practice Dentistry in North Little Rock, AR
• Providers in North Little Rock, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.