Individual provider Active NPI

David B Inman, D.D.S

  • General Practice Dentistry
  • North Little Rock, AR
National Provider Identifier
1346454865
Registry record updated Jun 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2803 Issued in AR
Practice address
1802 Hwy 161
North Little Rock, AR 72117-3702
Phone
(501) 945-2500
Fax
(501) 945-4842
NPI assigned
May 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2011

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 2803 AR Primary

Addresses

Primary practice location

1802 Hwy 161
North Little Rock, AR 72117-3702

Mailing address

1802 Hwy 161
North Little Rock, AR 72117-3702
Phone (501) 945-2500

Other identifiers 2

IdentifierTypeStateIssuer
59295OtherARBLUE CROSS BLUE SHIELD
117098608MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160419000430 AR Order and Referring Only - DentistPractitioner - Dentist 6002114477

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2803ARMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Inman Family Dental Clinic-NLR Past Accepting new patients
Inman Family Dental Clinic, Inc.-NLR Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307404800000",
    "number": "1346454865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 HWY 161",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721173702",
            "telephone_number": "501-945-2500",
            "fax_number": "501-945-4842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 HWY 161",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721173702",
            "telephone_number": "501-945-2500",
            "fax_number": "501-945-4842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INMAN",
        "first_name": "DAVID",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2011-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "2803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "59295",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117098608",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

Verify at the official NPI Registry.