Organization Active NPI

Arkansas Orthodontic Specialist Inc

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Fort Smith, AR
National Provider Identifier
1336554831
Registry record updated Oct 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
3025 Issued in AR
Legal business name
ARKANSAS ORTHODONTIC SPECIALIST INC
Doing business as
Whitlock Orthodontics of Fort Smith
Practice address
8309 Phoenix Ave
Fort Smith, AR 72903-6141
Phone
(479) 717-1171
Fax
(479) 717-1047
NPI assigned
Jun 24, 2014
Organization subpart
Yes
Parent organization
ARKANSAS ORTHODONTIC SPECIALIST INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 3, 2014

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

Authorized official

Name
Scott L Bolding, DDS, MS
Title
Owner
Phone
(479) 717-1047

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 3025 AR Primary

Addresses

Primary practice location

8309 Phoenix Ave
Fort Smith, AR 72903-6141

Mailing address

PO Box 1136
Searcy, AR 72145-1136
Phone (479) 717-1047

Other names 1

  • Whitlock Orthodontics of Fort Smith Doing business as

National Provider Directory

National Provider Directory
Part of
Arkansas Orthodontic Specialist Inc

NPI Registry JSON

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

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412294400000",
    "number": "1336554831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1136",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721451136",
            "telephone_number": "479-717-1047",
            "fax_number": "479-717-1047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8309 PHOENIX AVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729036141",
            "telephone_number": "479-717-1171",
            "fax_number": "479-717-1047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS ORTHODONTIC SPECIALIST INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARKANSAS ORTHODONTIC SPECIALIST INC",
        "enumeration_date": "2014-06-24",
        "last_updated": "2014-10-03",
        "status": "A",
        "authorized_official_last_name": "BOLDING",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-717-1047",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AR",
            "license": "3025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Whitlock Orthodontics of Fort Smith",
            "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 Oct 3, 2014; 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.