Summit Dental, Inc

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SUMMIT DENTAL, INC

Practice address

1421 Central Avenue
Hot Springs, AR 71901

Phone

(801) 623-8333

Fax

(501) 623-8331

NPI assigned

Apr 16, 2010

Last updated

Oct 28, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Pamela Renee Halbrook

Title

Administrator

Phone

(501) 623-8333

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dental Care Associates Former legal business name

Tax ID family

Summit Dental Inc2 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.

• Summit Dental, Inc.

  • Dentist
  • Little Rock, AR
  • NPI 1720417314
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Summit Dental, Inc.

  • Dentist
  • Little Rock, AR
  • NPI 1720417314
  NPPES parent name

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

{
    "created_epoch": "1271376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382918400000",
    "number": "1407172331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 CENTRAL AVENUE",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "71901",
            "telephone_number": "501-623-8333",
            "fax_number": "501-623-8331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 CENTRAL AVENUE",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "71901",
            "telephone_number": "801-623-8333",
            "fax_number": "501-623-8331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT DENTAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-16",
        "last_updated": "2013-10-28",
        "status": "A",
        "authorized_official_last_name": "HALBROOK",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "501-623-8333"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AR",
            "license": "2967",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112366608",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Care Associates",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Subash Chandra Subedi
• Success Vision Express of Hot Springs, LLC
• Janice Suit
• Sarah Lynn Sullivan, MD
• Golden Summers-Puckett, LCSW
• Natalie E Summitt, APRN
• Superior Senior Care
• Anudeep Surendranath, MD
• Susan H. Griffin (SomnoDiagnostics)
• Justin Sutter, DC

• Dentist in Hot Springs, AR
• Providers in Hot Springs, AR by specialty
• Dentist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.