Heather Bond Southard, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3469 Issued in AR

Practice address

2600 Browns LN
Jonesboro, AR 72401-7226

Phone

(870) 932-7000

Fax

(870) 932-1650

NPI assigned

Nov 16, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Oral Surgery

Education

University of Tennessee HSC College of Dentistry, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• TMJ and Facial Pain Center,LLC

  • Dentist
  • Jonesboro, AR
  • NPI 1922476571
  Medicare reassignment NPD Authorized official
• Dr Heather Bond Southard, DDS PA

  • General Practice Dentistry
  • Jonesboro, AR
  • NPI 1487855417
  NPD (past) Authorized official

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1376616664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 BROWNS LN",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724017226",
            "telephone_number": "870-932-7000",
            "fax_number": "870-932-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 BROWNS LN",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724017226",
            "telephone_number": "870-932-7000",
            "fax_number": "870-932-1650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUTHARD",
        "first_name": "HEATHER",
        "middle_name": "BOND",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "3469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161820608",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Soos Drug Inc
• Aundrea Souders, R.N.
• Soul Purpose Wellness Center, LLC
• Ronald E South, M.D.
• Casey Ann Southard, RN
• Sarah Southard
• Southern Caregivers of Jonesboro
• Southern Dental of Hilltop PLLC
• Southern Dental of Jonesboro, PLLC
• Southern Eye Associates LTD

• General Practice Dentistry in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.