NPIMap

Organization Active NPI

HD Dental, PA Dba Smile Dental

  • Dentist
  • Jonesboro, AR
National Provider Identifier
1265828156
Registry record updated Apr 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2929 Issued in AR
Legal business name
HD DENTAL, PA DBA SMILE DENTAL
Practice address
6009 Highway 1 South
Jonesboro, AR 72404
Phone
(870) 336-5621
NPI assigned
Apr 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2015

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

Authorized official

Name
Lai Ferrell
Title
Manager
Phone
(870) 336-5621

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 3393 AR
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 2929 AR Primary

Addresses

Primary practice location

6009 Highway 1 South
Jonesboro, AR 72404

Mailing address

14810 Cantrell Rd
Little Rock, AR 72223
Phone (844) 463-5677

Other names 1

  • Smile Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
HD Dental PA Dba Smile Dental2 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

6009 Highway 1 S
Jonesboro, AR 72404
Phone (870) 336-5621

NPI Registry JSON

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

{
    "created_epoch": "1428451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428451200000",
    "number": "1265828156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14810 CANTRELL RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72223",
            "telephone_number": "844-463-5677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6009 HIGHWAY 1 SOUTH",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "72404",
            "telephone_number": "870-336-5621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HD DENTAL, PA DBA SMILE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-08",
        "last_updated": "2015-04-08",
        "status": "A",
        "authorized_official_last_name": "FERRELL",
        "authorized_official_first_name": "LAI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "870-336-5621"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "AR",
            "license": "3393",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "AR",
            "license": "2929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jonesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2015; 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.