Active NPI
Robert G Hodous DDS LTD
- General Practice Dentistry
- Fayetteville, AR
National Provider Identifier
1366655078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3251
- Legal business name
- ROBERT G HODOUS DDS LTD
- Practice address
- 2630 E Citizens Dr
Suite 8
Fayetteville, AR 72703-4797 - Phone
- (479) 582-1100
- Fax
- (479) 587-1171
- NPI assigned
- May 8, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Rhonda A Liles
- Title
- Patient Coordinator
- Phone
- (479) 582-1100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3251 | AR | Primary |
Addresses
Primary practice location
2630 E Citizens Dr
Suite 8
Fayetteville, AR 72703-4797
Mailing address
2630 E Citizens Dr
Suite 8
Fayetteville, AR 72703-4797
Phone (479) 582-1100
National Provider Directory
National Provider DirectoryLocations
2630 E Citizens Dr
Ste 8
Fayetteville, AR 72703
Phone (479) 409-5097
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Dentist
- Fayetteville, AR
- NPI 1023241973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1366655078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2630 E CITIZENS DR",
"address_2": "SUITE 8",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727034797",
"telephone_number": "479-582-1100",
"fax_number": "479-587-1171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2630 E CITIZENS DR",
"address_2": "SUITE 8",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727034797",
"telephone_number": "479-582-1100",
"fax_number": "479-587-1171"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT G HODOUS DDS LTD",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-08",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LILES",
"authorized_official_first_name": "RHONDA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PATIENT COORDINATOR",
"authorized_official_telephone_number": "479-582-1100",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AR",
"license": "3251",
"primary": true
}
],
"identifiers": [],
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.