NPIMap

Organization Active NPI

Carl Cody Friddle, PLLC

  • General Practice Dentistry
  • Fort Smith, AR
National Provider Identifier
1376729095
Registry record updated Jan 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3558 Issued in AR
Legal business name
CARL CODY FRIDDLE, PLLC
Practice address
5008 S U St
Fort Smith, AR 72903-3613
Phone
(479) 452-8800
Fax
(479) 452-6926
NPI assigned
Jan 11, 2008
Last updated
Jan 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2008

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

Authorized official

Name
Dr. Carl Cody Friddle, DDSNPI 1336294180
Title
Dentist
Phone
(479) 452-8800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 3558 AR Primary

Addresses

Primary practice location

5008 S U St
Fort Smith, AR 72903-3613

Mailing address

5008 S U St
Fort Smith, AR 72903-3613
Phone (479) 452-8800

National Provider Directory

National Provider Directory

Locations

5008 S U St
Fort Smith, AR 72903
Phone (479) 452-8800

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.

NPI Registry JSON

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

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200009600000",
    "number": "1376729095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5008 S U ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729033613",
            "telephone_number": "479-452-8800",
            "fax_number": "479-452-6926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5008 S U ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729033613",
            "telephone_number": "479-452-8800",
            "fax_number": "479-452-6926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARL CODY FRIDDLE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-11",
        "last_updated": "2008-01-11",
        "status": "A",
        "authorized_official_last_name": "FRIDDLE",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "CODY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "479-452-8800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "3558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2008; 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.