Active NPI
James A Penney III, D.D.S.
- Endodontics
- Little Rock, AR
National Provider Identifier
1275616922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 3009
- Practice address
- 13239 Cantrell Road
Suite B
Little Rock, AR 72223-1608 - Phone
- (501) 227-7668
- Fax
- (501) 500-5901
- NPI assigned
- Oct 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 3009 | AR | Primary |
Addresses
Primary practice location
13239 Cantrell Road
Suite B
Little Rock, AR 72223-1608
Mailing address
13239 Cantrell Road
Suite B
Little Rock, AR 72223-1608
Phone (501) 227-7668
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 710773751 | Other | AR | TAX ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3009 | AR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659657600000",
"number": "1275616922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13239 CANTRELL ROAD",
"address_2": "SUITE B",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722231608",
"telephone_number": "501-227-7668",
"fax_number": "501-227-7120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13239 CANTRELL ROAD",
"address_2": "SUITE B",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722231608",
"telephone_number": "501-227-7668",
"fax_number": "501-500-5901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENNEY",
"first_name": "JAMES",
"middle_name": "A",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-23",
"last_updated": "2022-08-05",
"certification_date": "2022-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "AR",
"license": "3009",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "710773751",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.