NPIMap

Organization Active NPI

Higginbotham Dental Group, PLLC

  • General Practice Dentistry
  • Arlington, TN
National Provider Identifier
1396617064
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
HIGGINBOTHAM DENTAL GROUP, PLLC
Practice address
6050 Airline Rd Ste 101
Arlington, TN 38002-4895
Phone
(870) 336-5620
NPI assigned
Sep 22, 2025
Organization subpart
Yes
Parent organization
HIGGINBOTHAM DENTAL GROUP, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Authorized official

Name
Misti Ross
Title
Insurance Director
Phone
(870) 336-3732

Specialties & licenses 1

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

Addresses

Primary practice location

6050 Airline Rd Ste 101
Arlington, TN 38002-4895

Mailing address

1804 Old Greensboro Rd BLDG B
Jonesboro, AR 72405-0003
Phone (870) 336-3732

National Provider Directory

National Provider Directory
Tax ID family
Higginbotham Dental Group PLLC5 organizations share this tax ID, including this one
Part of
Higginbotham Dental Group PLLC

Other organizations with this tax ID 4

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

Locations

6050 Airline Rd
Ste 101
Arlington, TN 38002
Phone (870) 336-5620

NPI Registry JSON

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

{
    "created_epoch": "1758499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758499200000",
    "number": "1396617064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 OLD GREENSBORO RD BLDG B",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724050003",
            "telephone_number": "870-336-3732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6050 AIRLINE RD STE 101",
            "city": "ARLINGTON",
            "state": "TN",
            "postal_code": "380024895",
            "telephone_number": "870-336-5620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGGINBOTHAM DENTAL GROUP, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HIGGINBOTHAM DENTAL GROUP, PLLC",
        "enumeration_date": "2025-09-22",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "MISTI",
        "authorized_official_title_or_position": "INSURANCE DIRECTOR",
        "authorized_official_telephone_number": "870-336-3732"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; 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.