Active NPI
Danna F Grear, MD
- Diagnostic Radiology Physician
- Fayetteville, AR
National Provider Identifier
1346283173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- R-3977
- Practice address
- 55 W Sunbridge Dr
Fayetteville, AR 72703 - Phone
- (479) 442-6266
- Fax
- (479) 521-3877
- NPI assigned
- Jun 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | R-3977 | AR | Primary |
Addresses
Primary practice location
55 W Sunbridge Dr
Fayetteville, AR 72703
Mailing address
PO Box 1523
Fayetteville, AR 72702-1523
Phone (479) 571-6038
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 116447001 | Medicaid | AR | |
| P00190608 | Other | AR | RR MCR |
| 100180240B | Medicaid | OK | |
| 53224 | Other | AR | AR BC/BS |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R-3977 | AR | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529366400000",
"number": "1346283173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1523",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727021523",
"telephone_number": "479-571-6038",
"fax_number": "479-582-0222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 W SUNBRIDGE DR",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "72703",
"telephone_number": "479-442-6266",
"fax_number": "479-521-3877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREAR",
"first_name": "DANNA",
"middle_name": "F",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-13",
"last_updated": "2018-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "AR",
"license": "R-3977",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "116447001",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MCR",
"identifier": "P00190608",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100180240B",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AR BC/BS",
"identifier": "53224",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.