Organization Active NPI

Dr. Kevin M Dugan D,D,S P.a

  • General Practice Dentistry
  • North Little Rock, AR
National Provider Identifier
1386922219
Registry record updated Jul 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2403 Issued in AR
Legal business name
DR. KEVIN M DUGAN D,D,S P.A
Practice address
3200 Springhill Dr
North Little Rock, AR 72117-2913
Phone
(501) 758-9191
Fax
(501) 758-3228
NPI assigned
Jul 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2011

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

Authorized official

Name
Dr. Kevin Michael Dugan, D.D.S P.ANPI 1487742060
Title
Dentist
Phone
(501) 758-9191

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2403 AR Primary

Addresses

Primary practice location

3200 Springhill Dr
North Little Rock, AR 72117-2913

Mailing address

3200 Springhill Dr
North Little Rock, AR 72117-2913
Phone (501) 758-9191

Other identifiers 1

IdentifierTypeStateIssuer
187436631MedicaidAR

National Provider Directory

National Provider Directory

Locations

3200 Springhill Dr
North Little Rock, AR 72117
Phone (501) 758-9191

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1311638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311638400000",
    "number": "1386922219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 SPRINGHILL DR",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721172913",
            "telephone_number": "501-758-9191",
            "fax_number": "501-758-3228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 SPRINGHILL DR",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721172913",
            "telephone_number": "501-758-9191",
            "fax_number": "501-758-3228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. KEVIN M DUGAN D,D,S P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-26",
        "last_updated": "2011-07-26",
        "status": "A",
        "authorized_official_last_name": "DUGAN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "501-758-9191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S P.A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "2403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "187436631",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2011; 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.