Individual provider Active NPI

Logan Hobbs Kuhn, DDS

  • General Practice Dentistry
  • Little Rock, AR
National Provider Identifier
1336708254
Registry record updated Jun 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4360 Issued in AR
Practice address
301 N Shackleford Rd Ste B1
Little Rock, AR 72211-2882
Phone
(501) 227-5155
NPI assigned
Jun 13, 2019
Last updated
Jun 13, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4360 AR Primary

Addresses

Primary practice location

301 N Shackleford Rd Ste B1
Little Rock, AR 72211-2882

Mailing address

2405 Hickorynut CT
Little Rock, AR 72211-4573
Phone (501) 519-3141

Other practice location 1

20770 I 30 Ste 100
Benton, AR 72019-8826
Phone (501) 777-3082

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4360ARMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1336708254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 HICKORYNUT CT",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114573",
            "telephone_number": "501-519-3141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N SHACKLEFORD RD STE B1",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722112882",
            "telephone_number": "501-227-5155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20770 I 30 Ste 100",
            "address_purpose": "LOCATION",
            "city": "Benton",
            "state": "AR",
            "postal_code": "720198826",
            "country_code": "US",
            "telephone_number": "501-777-3082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUHN",
        "first_name": "LOGAN",
        "middle_name": "HOBBS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-13",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "4360",
            "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 Jun 13, 2019; 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.