Organization Active NPI

Garland County Pediatric Dentistry PA

  • Pediatric Dentistry
  • Hot Springs, AR
National Provider Identifier
1295900553
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
1833 Issued in AR
Legal business name
GARLAND COUNTY PEDIATRIC DENTISTRY PA
Practice address
600 Main St
Suite X
Hot Springs, AR 71913-4905
Phone
(501) 624-4421
Fax
(501) 624-6727
NPI assigned
Apr 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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

Authorized official

Name
James L. Bevans, DDS MA
Title
Dentist
Phone
(501) 224-4799

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 1833 AR Primary

Addresses

Primary practice location

600 Main St
Suite X
Hot Springs, AR 71913-4905

Mailing address

300 S Rodney Parham Rd
Suite 3
Little Rock, AR 72205-4747
Phone (501) 224-4799

National Provider Directory

National Provider Directory

Locations

600 Main St
Ste X
Hot Springs, AR 71913
Phone (501) 624-4421

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1295900553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S RODNEY PARHAM RD",
            "address_2": "SUITE 3",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722054747",
            "telephone_number": "501-224-4799",
            "fax_number": "501-224-9278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MAIN ST",
            "address_2": "SUITE X",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719134905",
            "telephone_number": "501-624-4421",
            "fax_number": "501-624-6727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARLAND COUNTY PEDIATRIC DENTISTRY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-28",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "BEVANS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "501-224-4799",
        "authorized_official_credential": "DDS MA"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AR",
            "license": "1833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 28, 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.