Organization Active NPI

Joseph G. Bussell, DDS, PA

  • Dental Clinic/Center
  • Little Rock, AR
National Provider Identifier
1386974921
Registry record updated Jan 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
2839 Issued in AR
Legal business name
JOSEPH G. BUSSELL, DDS, PA
Practice address
6020 Ranch Dr
Suite C6
Little Rock, AR 72223-4621
Phone
(501) 868-1300
Fax
(501) 868-1327
NPI assigned
Jan 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2010

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

Authorized official

Name
Dr. Joseph Glenn Bussell, DDSNPI 1497942262
Title
Owner/Pres.
Phone
(501) 868-1300

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
Dental Clinic/Center 261QD0000X 2839 AR Primary

Addresses

Primary practice location

6020 Ranch Dr
Suite C6
Little Rock, AR 72223-4621

Mailing address

6020 Ranch Dr
Suite C6
Little Rock, AR 72223-4621
Phone (501) 868-1300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160427000369 AR DME Supplier - Oral Surgery - Dentist 5193981520 Practice locations: Little Rock, AR

National Provider Directory

National Provider Directory

Locations

6020 Ranch Dr
Ste C6
Little Rock, AR 72223
Phone (501) 868-1300

Practitioners & affiliated clinicians

Practitioners 2

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": "1262563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262563200000",
    "number": "1386974921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6020 RANCH DR",
            "address_2": "SUITE C6",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722234621",
            "telephone_number": "501-868-1300",
            "fax_number": "501-868-1327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6020 RANCH DR",
            "address_2": "SUITE C6",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722234621",
            "telephone_number": "501-868-1300",
            "fax_number": "501-868-1327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH G. BUSSELL, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-04",
        "last_updated": "2010-01-04",
        "status": "A",
        "authorized_official_last_name": "BUSSELL",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "OWNER/PRES.",
        "authorized_official_telephone_number": "501-868-1300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AR",
            "license": "2839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.