Organization Active NPI

Alexander S Kita, DDS, PA

Doing business as Kita Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • North Little Rock, AR
National Provider Identifier
1285220038
Registry record updated Dec 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
ALEXANDER S KITA, DDS, PA
Doing business as
Kita Orthodontics
Practice address
3517 JFK Blvd
North Little Rock, AR 72116-8839
Phone
(501) 758-9697
Fax
(501) 758-9699
NPI assigned
Dec 16, 2020
Last updated
Dec 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2020

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

Authorized official

Name
Dr. Alexander Stephen Kita, DDSNPI 1366463283
Title
Owner/Doctor
Phone
(501) 758-9697

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

3517 JFK Blvd
North Little Rock, AR 72116-8839

Mailing address

3517 JFK Blvd
North Little Rock, AR 72116-8839
Phone (501) 758-9697

Other identifiers 1

IdentifierTypeStateIssuer
235252608MedicaidAR

Other names 1

  • Kita Orthodontics Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL office Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1608076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608163200000",
    "number": "1285220038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3517 JFK BLVD",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721168839",
            "telephone_number": "501-758-9697",
            "fax_number": "501-758-9699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3517 JFK BLVD",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721168839",
            "telephone_number": "501-758-9697",
            "fax_number": "501-758-9699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDER S KITA, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-16",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A",
        "authorized_official_last_name": "KITA",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "501-758-9697",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "235252608",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "office",
            "affiliation": "N",
            "endpointDescription": "This is a laptop the doctor has with him at all times",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3517 JFK Blvd",
            "city": "North Little Rock",
            "state": "AR",
            "country_code": "US",
            "postal_code": "721168839",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Kita Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.