NPIMap

Organization Active NPI

Benjamin G. Burris, DDS, MDS, PA

Doing business as Riverbend Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Clarksville, AR
National Provider Identifier
1386085801
Registry record updated Jul 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
3465 Issued in AR
Legal business name
BENJAMIN G. BURRIS, DDS, MDS, PA
Doing business as
Riverbend Orthodontics
Practice address
1126 S Rogers St
Clarksville, AR 72830-9157
Phone
(479) 754-6084
NPI assigned
Jul 12, 2013
Last updated
Jul 12, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2013

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

Authorized official

Name
Benjamin Burris, DDS, MDS
Title
Owner
Phone
(870) 972-8294

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 3465 AR Primary

Addresses

Primary practice location

1126 S Rogers St
Clarksville, AR 72830-9157

Mailing address

1126 S Rogers St
Clarksville, AR 72830-9157
Phone (479) 754-6084

Other names 1

  • Riverbend Orthodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Benjamin G Burris DDS MDS PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1373587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373587200000",
    "number": "1386085801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1126 S ROGERS ST",
            "city": "CLARKSVILLE",
            "state": "AR",
            "postal_code": "728309157",
            "telephone_number": "479-754-6084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 S ROGERS ST",
            "city": "CLARKSVILLE",
            "state": "AR",
            "postal_code": "728309157",
            "telephone_number": "479-754-6084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENJAMIN G. BURRIS, DDS, MDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-12",
        "last_updated": "2013-07-12",
        "status": "A",
        "authorized_official_last_name": "BURRIS",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-972-8294",
        "authorized_official_credential": "DDS, MDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AR",
            "license": "3465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverbend Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clarksville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2013; 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.