Small Bites

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

3877 Issued in AR

Legal business name

SMALL BITES

Practice address

1301 Ridgway Rd
Pine Bluff, AR 71603-7611

Phone

(870) 535-8600

NPI assigned

Sep 9, 2016

Organization subpart

No

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

Authorized official

Name

David Keith Jones, DDS

Title

Pediatric Dentist

Phone

(901) 359-6251

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Small Bites

  • Pediatric Dentistry
  • White Hall, AR
  • NPI 1285372482
  NPD tax ID
• Small Bites

  • Pediatric Dentistry
  • Little Rock, AR
  • NPI 1336620020
  NPD tax ID

Locations

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

{
    "created_epoch": "1473379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473379200000",
    "number": "1356898191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 RIDGWAY RD",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716037611",
            "telephone_number": "870-535-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 RIDGWAY RD",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716037611",
            "telephone_number": "870-535-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMALL BITES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-09",
        "last_updated": "2016-09-09",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "901-359-6251",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AR",
            "license": "3877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "193061608",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Simmie Armstrong,Jr.,MD
• Stephanie Simmons
• P B Simpson Jr., MD
• Elaine Sims, APRN
• Robert Slattery
• Lindsay E Smart, PHARMD
• Brenda L Smith, ED.D. LCSW
• Cortez C Smith, BS, MHPP
• Daniel F Smith, MD
• Jamie L Smith, PTA

• Pediatric Dentistry in Pine Bluff, AR
• Providers in Pine Bluff, AR by specialty
• Pediatric Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; 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.