Midtown Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MIDTOWN DENTAL

Practice address

814 North University Ave
Little Rock, AR 72205

Phone

(501) 664-5555

Fax

(501) 664-1759

NPI assigned

May 23, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Anita L Aebersold

Title

Owner

Phone

(501) 664-1733

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1337731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337731200000",
    "number": "1336409333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 N. UNIVERSITY AVE.",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72205",
            "telephone_number": "501-664-5555",
            "fax_number": "501-664-1759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 NORTH UNIVERSITY AVE",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72205",
            "telephone_number": "501-664-5555",
            "fax_number": "501-664-1759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDTOWN DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-23",
        "last_updated": "2012-05-23",
        "status": "A",
        "authorized_official_last_name": "AEBERSOLD",
        "authorized_official_first_name": "ANITA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-664-1733",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185631631",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Middaugh, M.D.
• Middle Arkansas Sedation Associates, PLLC
• Derek Middleton
• Samuel Lewis Middleton, CPNP-AC
• Brendan Midkiff
• Midtown Post Acute and Rehabilitation - a Waters Community, LLC
• Midwest Respiratory Care Inc.
• Kendyl Washburn Miedema, PA
• Karl Migally, M.D.
• Holly Elizabeth Miguet, MS, OTR/L

• General Practice Dentistry in Little Rock, AR
• Providers in Little Rock, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.