Organization Active NPI

Culpepper Family Dentistry

  • General Practice Dentistry
  • Rogers, AR
National Provider Identifier
1255760120
Registry record updated Nov 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3954 Issued in AR
Legal business name
CULPEPPER FAMILY DENTISTRY
Practice address
620 N 13TH St
Rogers, AR 72756-3434
Phone
(479) 936-8877
Fax
(479) 936-8875
NPI assigned
Nov 1, 2013
Organization subpart
Yes
Parent organization
DR. NICHOLAS CULPEPPERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 1, 2013

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

Authorized official

Name
Laura Osmer
Title
Office Manager
Phone
(479) 936-8877

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 3954 AR Primary

Addresses

Primary practice location

620 N 13TH St
Rogers, AR 72756-3434

Mailing address

620 N 13TH St
Rogers, AR 72756-3434
Phone (479) 936-8877

National Provider Directory

National Provider Directory
Part of
Culpepper Family Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1383264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383264000000",
    "number": "1255760120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 N 13TH ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727563434",
            "telephone_number": "479-936-8877",
            "fax_number": "479-936-8875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 N 13TH ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727563434",
            "telephone_number": "479-936-8877",
            "fax_number": "479-936-8875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULPEPPER FAMILY DENTISTRY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DR. NICHOLAS CULPEPPER",
        "enumeration_date": "2013-11-01",
        "last_updated": "2013-11-01",
        "status": "A",
        "authorized_official_last_name": "OSMER",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "479-936-8877"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "3954",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 1, 2013; 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.