Active NPI
David T Drummond, D.D.S
- General Practice Dentistry
- Bentonville, AR
National Provider Identifier
1417203282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2151
- Practice address
- 210 NW a St
Bentonville, AR 72712-5214 - Phone
- (479) 273-9444
- Fax
- (479) 273-9405
- NPI assigned
- Jul 31, 2012
- Last updated
- Jul 31, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2151 | AR | Primary |
Addresses
Primary practice location
210 NW a St
Bentonville, AR 72712-5214
Mailing address
210 NW a St
Bentonville, AR 72712-5214
Phone (479) 273-9444
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 |
|---|---|---|---|
| 2151 | AR | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David T. Drummond, D.D.S., P.a. | General Practice | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Bentonville, AR
- NPI 1841213287
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343692800000",
"number": "1417203282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 NW A ST",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727125214",
"telephone_number": "479-273-9444",
"fax_number": "479-273-9405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 NW A ST",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727125214",
"telephone_number": "479-273-9444",
"fax_number": "479-273-9405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRUMMOND",
"first_name": "DAVID",
"middle_name": "T",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-07-31",
"last_updated": "2012-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AR",
"license": "2151",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bentonville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.