NPIMap

Organization Active NPI

Kathleen Good Ederle DDS PA

  • General Practice Dentistry
  • Little Rock, AR
National Provider Identifier
1336280601
Registry record updated Oct 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2739 Issued in AR
Legal business name
KATHLEEN GOOD EDERLE DDS PA
Practice address
413 N University
Little Rock, AR 72205-3108
Phone
(501) 664-6040
NPI assigned
Feb 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2012

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

Authorized official

Name
Dr. Kathleen Good Ederle, DDS PANPI 1174875249
Title
Dentist
Phone
(501) 664-6040

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2739 AR Primary

Addresses

Primary practice location

413 N University
Little Rock, AR 72205-3108

Mailing address

413 N University
Little Rock, AR 72205-3108
Phone (501) 664-6040

National Provider Directory

National Provider Directory

Locations

413 N University Ave
Little Rock, AR 72205
Phone (501) 664-6040

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": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349136000000",
    "number": "1336280601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 N UNIVERSITY",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722053108",
            "telephone_number": "501-664-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 N UNIVERSITY",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722053108",
            "telephone_number": "501-664-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN GOOD EDERLE DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2012-10-02",
        "status": "A",
        "authorized_official_last_name": "EDERLE",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "GOOD",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "501-664-6040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS PA"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "2739",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 2, 2012; 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.