NPIMap

Organization Active NPI

Small Bites

Doing business as Small Bites Pediatric Dentistry

  • Pediatric Dentistry
  • Little Rock, AR
National Provider Identifier
1336620020
Registry record updated Aug 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
3877 Issued in AR
Legal business name
SMALL BITES
Doing business as
Small Bites Pediatric Dentistry
Practice address
1001 S Bowman Rd Ste 1
Little Rock, AR 72211-3710
Phone
(501) 222-9101
NPI assigned
Aug 22, 2018
Last updated
Aug 22, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2018

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

Authorized official

Name
Dr. David Keith Jones, DDSNPI 1588927941
Title
Owner
Phone
(901) 359-6251

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
Pediatric Dentistry 1223P0221X 3877 AR Primary

Addresses

Primary practice location

1001 S Bowman Rd Ste 1
Little Rock, AR 72211-3710

Mailing address

1001 S Bowman Rd Ste 1
Little Rock, AR 72211-3710
Phone (501) 222-9101

Other identifiers 2

IdentifierTypeStateIssuer
193061608MedicaidAR
222746631MedicaidAR

Other names 1

  • Small Bites Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Small Bites3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1001 S Bowman Rd
Ste 1
Little Rock, AR 72211
Phone (501) 222-9101

Practitioners & affiliated clinicians

Practitioners 4

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": "1534896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534896000000",
    "number": "1336620020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 S BOWMAN RD STE 1",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113710",
            "telephone_number": "501-222-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S BOWMAN RD STE 1",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113710",
            "telephone_number": "501-222-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMALL BITES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-22",
        "last_updated": "2018-08-22",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-359-6251",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AR",
            "license": "3877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "193061608",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "222746631",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Small Bites Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2018; 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.