Active NPI
New Image Dental, PLLC
- General Practice Dentistry
- Rogers, AR
National Provider Identifier
1407035892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3225
- Legal business name
- NEW IMAGE DENTAL, PLLC
- Practice address
- 540 N 13TH St
Rogers, AR 72756-3432 - Phone
- (479) 636-4351
- Fax
- (479) 631-6988
- NPI assigned
- Nov 1, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John Andrew Baxter, DDS, PA
- Title
- General Dentist
- Phone
- (479) 636-4351
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3225 | AR | Primary |
| General Practice Dentistry | 1223G0001X | 3527 | AR |
Addresses
Primary practice location
540 N 13TH St
Rogers, AR 72756-3432
Mailing address
540 North 13TH St.
Rogers, AR 72756
Phone (479) 636-4351
National Provider Directory
National Provider DirectoryLocations
540 N 13th St
Rogers, AR 72756
Phone (479) 636-4351
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Rogers, AR
- NPI 1972664860
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193875200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193875200000",
"number": "1407035892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "540 NORTH 13TH ST.",
"city": "ROGERS",
"state": "AR",
"postal_code": "72756",
"telephone_number": "479-636-4351",
"fax_number": "479-631-6988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 N 13TH ST",
"city": "ROGERS",
"state": "AR",
"postal_code": "727563432",
"telephone_number": "479-636-4351",
"fax_number": "479-631-6988"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW IMAGE DENTAL, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-01",
"last_updated": "2007-11-01",
"status": "A",
"authorized_official_last_name": "BAXTER",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "ANDREW",
"authorized_official_title_or_position": "GENERAL DENTIST",
"authorized_official_telephone_number": "479-636-4351",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS, PA"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "AR",
"license": "3225",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "AR",
"license": "3527",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rogers, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.