Individual provider Active NPI

Alyssa Nell Lambert, DDS

  • General Practice Dentistry
  • Conway, AR
National Provider Identifier
1407403769
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4376 Issued in AR
Practice address
2415 Prince St Ste 105
Conway, AR 72034-3718
Phone
(501) 328-5439
NPI assigned
Aug 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4376 AR Primary

Addresses

Primary practice location

2415 Prince St Ste 105
Conway, AR 72034-3718

Mailing address

600 S Front St Apt 101
Memphis, TN 38103-1655
Phone (901) 412-5423

Other practice location 1

8801 W Markham St # B
Little Rock, AR 72205-2316
Phone (501) 225-1577

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4376ARMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1407403769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S FRONT ST APT 101",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381031655",
            "telephone_number": "901-412-5423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 PRINCE ST STE 105",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720343718",
            "telephone_number": "501-328-5439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8801 W Markham St # B",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722052316",
            "country_code": "US",
            "telephone_number": "501-225-1577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAMBERT",
        "first_name": "ALYSSA",
        "middle_name": "NELL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-21",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "4376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; 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.