Organization Active NPI

Central Arkansas Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Hot Springs, AR
National Provider Identifier
1265691885
Registry record updated Jun 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
3465 Issued in AR
Legal business name
CENTRAL ARKANSAS ORTHODONTICS
Practice address
1702 Malvern Ave
Hot Springs, AR 71901-7132
Phone
(501) 321-0551
NPI assigned
Jun 9, 2008
Last updated
Jun 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2008

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

Authorized official

Name
Dr. Benjamin Gray Burris, DDS,MDS,PA
Title
Orthodontist
Phone
(501) 321-0560

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 3465 AR Primary

Addresses

Primary practice location

1702 Malvern Ave
Hot Springs, AR 71901-7132

Mailing address

1702
Malvern Ave
Hot Springs, AR 71901
Phone (501) 321-0551

Other names 1

  • Burris Dental Group PA Other name

National Provider Directory

National Provider Directory
Tax ID family
Arkansas Orthodontic Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1702 Malvern Ave
Hot Springs, AR 71901
Phone (501) 321-0551

NPI Registry JSON

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212969600000",
    "number": "1265691885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702",
            "address_2": "MALVERN AVE",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "71901",
            "telephone_number": "501-321-0551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 MALVERN AVE",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719017132",
            "telephone_number": "501-321-0551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL ARKANSAS ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-09",
        "last_updated": "2008-06-09",
        "status": "A",
        "authorized_official_last_name": "BURRIS",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "GRAY",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "501-321-0560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS,MDS,PA"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AR",
            "license": "3465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Burris Dental Group PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hot Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; 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.