Organization Active NPI

Clear Smile, PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • North Little Rock, AR
National Provider Identifier
1245927359
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
CLEAR SMILE, PLLC
Doing business as
Clear Smile, PLLC
Practice address
15509 Harbor Point LN
North Little Rock, AR 72113-9515
Phone
(501) 944-1933
NPI assigned
Apr 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2023

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

Authorized official

Name
Mrs. Audrey Flakoll
Title
Co Vice-President
Phone
(501) 772-3893

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

15509 Harbor Point LN
North Little Rock, AR 72113-9515

Mailing address

15509 Harbor Point LN
North Little Rock, AR 72113-9515
Phone (501) 944-1933

Other names 1

  • CLEAR SMILE, PLLC Doing business as

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, 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": "1681862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683072000000",
    "number": "1245927359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15509 HARBOR POINT LN",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721139515",
            "telephone_number": "501-944-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15509 HARBOR POINT LN",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721139515",
            "telephone_number": "501-944-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR SMILE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-19",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A",
        "authorized_official_last_name": "FLAKOLL",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_title_or_position": "CO VICE-PRESIDENT",
        "authorized_official_telephone_number": "501-772-3893",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLEAR SMILE, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; 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.