Active NPI
John F Rommel DDS
- General Practice Dentistry
- Clarksville, AR
National Provider Identifier
1245428853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- AR2136
- Legal business name
- JOHN F ROMMEL DDS
- Practice address
- 1204 S Rogers St
Clarksville, AR 72830-9159 - Phone
- (479) 754-6424
- Fax
- (479) 754-5673
- NPI assigned
- Oct 9, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John F Rommel, DDS
- Title
- Owner
- Phone
- (479) 754-6424
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | AR2136 | AR | Primary |
Addresses
Primary practice location
1204 S Rogers St
Clarksville, AR 72830-9159
Mailing address
1204 S Rogers St
Clarksville, AR 72830-9159
Phone (479) 754-6424
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103096608 | Medicaid | AR |
National Provider Directory
National Provider DirectoryLocations
1204 S Rogers St
Clarksville, AR 72830
Phone (479) 754-6424
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Clarksville, AR
- NPI 1679680300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191888000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1236124800000",
"number": "1245428853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1204 S ROGERS ST",
"city": "CLARKSVILLE",
"state": "AR",
"postal_code": "728309159",
"telephone_number": "479-754-6424",
"fax_number": "479-754-5673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1204 S ROGERS ST",
"city": "CLARKSVILLE",
"state": "AR",
"postal_code": "728309159",
"telephone_number": "479-754-6424",
"fax_number": "479-754-5673"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN F ROMMEL DDS",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-09",
"last_updated": "2009-03-04",
"status": "A",
"authorized_official_last_name": "ROMMEL",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "479-754-6424",
"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": "AR2136",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103096608",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clarksville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.