Organization Active NPI

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

Doing business as Arkansas Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Fort Smith, AR
National Provider Identifier
1275697500
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.
Doing business as
Arkansas Orthodontics
Practice address
4400 Rogers Ave Ste C
Fort Smith, AR 72903-3179
Phone
(479) 782-7080
Fax
(479) 782-7072
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) 782-7080

Specialties & licenses 1

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

Addresses

Primary practice location

4400 Rogers Ave Ste C
Fort Smith, AR 72903-3179

Mailing address

4400 Rogers Ave Ste C
Fort Smith, AR 72903-3179
Phone (479) 782-7080

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

4400 Rogers Ave
Ste C
Fort Smith, AR 72903
Phone (303) 669-8175

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": "1275697500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 ROGERS AVE STE C",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729033179",
            "telephone_number": "479-782-7080",
            "fax_number": "479-782-7072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 ROGERS AVE STE C",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729033179",
            "telephone_number": "479-782-7080",
            "fax_number": "479-782-7072"
        }
    ],
    "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": "479-782-7080",
        "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 Fort Smith, 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.