NPIMap

Organization Active NPI

Bill Pickard, D.D.S., M.S., P.a.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Bentonville, AR
National Provider Identifier
1265596597
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
2035 Issued in AR
Legal business name
BILL PICKARD, D.D.S., M.S., P.A.
Practice address
1400 SE Walton Blvd Ste 42
Bentonville, AR 72712-3202
Phone
(479) 271-9944
Fax
(479) 271-9945
NPI assigned
Dec 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Bill Pickard, D.D.S., M.S., P.A.
Title
Orthodontist
Phone
(479) 271-9944

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 2035 AR Primary

Addresses

Primary practice location

1400 SE Walton Blvd Ste 42
Bentonville, AR 72712-3202

Mailing address

1400 SE Walton Blvd Ste 42
Bentonville, AR 72712-3202
Phone (479) 271-9944

Other identifiers 2

IdentifierTypeStateIssuer
5F642OtherARBCBS
814087OtherARUNITED CONCORDIA

Other names 1

  • Arkansas Orthodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Arkansas Orthodontics5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1400 SE Walton Blvd
Ste 42
Bentonville, AR 72712
Phone (479) 271-9944

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": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265596597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 SE WALTON BLVD STE 42",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727123202",
            "telephone_number": "479-271-9944",
            "fax_number": "479-271-9945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 SE WALTON BLVD STE 42",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727123202",
            "telephone_number": "479-271-9944",
            "fax_number": "479-271-9945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BILL PICKARD, D.D.S., M.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PICKARD",
        "authorized_official_first_name": "BILL",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "479-271-9944",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S., P.A."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AR",
            "license": "2035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5F642",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "814087",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arkansas Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bentonville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.