Mickey Wayne Lindsey, DDS, PA

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

2816 Issued in AR

Practice address

1920 W Washington St
Suite a
Camden, AR 71701-3134

Phone

(870) 836-7860

Fax

(870) 836-7861

NPI assigned

Aug 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Oct 4, 2017 through Oct 4, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437168630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 W WASHINGTON ST",
            "address_2": "SUITE A",
            "city": "CAMDEN",
            "state": "AR",
            "postal_code": "717013134",
            "telephone_number": "870-836-7860",
            "fax_number": "870-836-7861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 W WASHINGTON ST",
            "address_2": "SUITE A",
            "city": "CAMDEN",
            "state": "AR",
            "postal_code": "717013134",
            "telephone_number": "870-836-7860",
            "fax_number": "870-836-7861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDSEY",
        "first_name": "MICKEY",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "DDS, PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "AR",
            "license": "2816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mimo Rose Lemdja, M.D.
• Laurel Leveritt, COTA/L
• Brittney Lewis, APRN, FNP-C
• Johnathan W Lewis, MD
• Tayzchana Lewis
• Jennifer Lowrey
• Marina K Henry Aprn PA
• Marshall I Mitchell DDS
• Emma Lou May, L.A.C.
• Necie Fain McAteer, CRNA

• Oral and Maxillofacial Surgery (Dentist) in Camden, AR
• Providers in Camden, AR by specialty
• Oral and Maxillofacial Surgery (Dentist) in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.