Active NPI
William Tompkins, D.D.S.
- Pediatric Dentistry
- Fayetteville, AR
National Provider Identifier
1407915515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 3404
- Practice address
- 1607 E Rainforest Dr
Fayetteville, AR 72703-5385 - Phone
- (479) 582-0600
- Fax
- (479) 443-4630
- NPI assigned
- Dec 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 3404 | AR | Primary |
Addresses
Primary practice location
1607 E Rainforest Dr
Fayetteville, AR 72703-5385
Mailing address
1607 E Rainforest Dr
Fayetteville, AR 72703-5385
Phone (479) 582-0600
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1400699 | Other | AR | UCCI |
| 5X950 | Other | AR | BCBS |
| 152987608 | Medicaid | AR | |
| 3404 | Other | AR | DELTA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3404 | AR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Triplett,Sanders,Tompkins, Smith & Landers #2 PLLC | Pediatric Dentistry | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatric Dentistry
- Bentonville, AR
- NPI 1871951525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386720000000",
"number": "1407915515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1607 E RAINFOREST DR",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727035385",
"telephone_number": "479-582-0600",
"fax_number": "479-443-4630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1607 E RAINFOREST DR",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727035385",
"telephone_number": "479-582-0600",
"fax_number": "479-443-4630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOMPKINS",
"first_name": "WILLIAM",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-06",
"last_updated": "2013-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "AR",
"license": "3404",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCCI",
"identifier": "1400699",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "5X950",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "152987608",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA",
"identifier": "3404",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.