NPIMap

Organization Active NPI

Davenport Dental, LLC

  • General Practice Dentistry
  • Little Rock, AR
National Provider Identifier
1407243173
Registry record updated Apr 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3842 Issued in AR
Legal business name
DAVENPORT DENTAL, LLC
Doing business as
Markham Street Dental
Practice address
10220 W Markham St
Ste 101
Little Rock, AR 72205-2189
Phone
(501) 666-7623
Fax
(501) 666-3410
NPI assigned
Apr 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2015

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

Authorized official

Name
Dr. James M Davenport, D.D.S.NPI 1891073557
Title
Dentist/Owner
Phone
(501) 666-7623

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 3842 AR Primary

Addresses

Primary practice location

10220 W Markham St
Ste 101
Little Rock, AR 72205-2189

Mailing address

10220 W Markham St
Ste 101
Little Rock, AR 72205-2189
Phone (501) 666-7623

Other names 1

  • Markham Street Dental Doing business as

National Provider Directory

National Provider Directory

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": "1429574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429574400000",
    "number": "1407243173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10220 W MARKHAM ST",
            "address_2": "STE 101",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722052189",
            "telephone_number": "501-666-7623",
            "fax_number": "501-666-3410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10220 W MARKHAM ST",
            "address_2": "STE 101",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722052189",
            "telephone_number": "501-666-7623",
            "fax_number": "501-666-3410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVENPORT DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-21",
        "last_updated": "2015-04-21",
        "status": "A",
        "authorized_official_last_name": "DAVENPORT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "501-666-7623",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "3842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Markham Street Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 21, 2015; 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.