NPIMap

Organization Active NPI

Glenwood Family Dentistry

  • Dental Clinic/Center
  • Glenwood, AR
National Provider Identifier
1437834678
Registry record updated Sep 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
GLENWOOD FAMILY DENTISTRY
Practice address
119 Elm
Glenwood, AR 71943-9213
Phone
(870) 356-3920
NPI assigned
Jun 15, 2023
Last updated
Sep 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2023

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

Authorized official

Name
Clayton Sorrells, DDSNPI 1801596184
Title
Dentist
Phone
(870) 356-3920

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

119 Elm
Glenwood, AR 71943-9213

Mailing address

PO Box 431
Glenwood, AR 71943-0431
Phone (870) 356-3920

National Provider Directory

National Provider Directory

Locations

119 Elm
Glenwood, AR 71943
Phone (870) 356-3920

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1686787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693699200000",
    "number": "1437834678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 431",
            "city": "GLENWOOD",
            "state": "AR",
            "postal_code": "719430431",
            "telephone_number": "870-356-3920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 ELM",
            "city": "GLENWOOD",
            "state": "AR",
            "postal_code": "719439213",
            "telephone_number": "870-356-3920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENWOOD FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-15",
        "last_updated": "2023-09-03",
        "certification_date": "2023-09-03",
        "status": "A",
        "authorized_official_last_name": "SORRELLS",
        "authorized_official_first_name": "CLAYTON",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "870-356-3920",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenwood, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2023; 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.