Organization Active NPI

Dr. Patrick Driver, DDS, PLLC

  • Periodontics
  • Rogers, AR
National Provider Identifier
1447712856
Registry record updated Apr 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
DR. PATRICK DRIVER, DDS, PLLC
Practice address
201 N 34TH St
Rogers, AR 72756-0352
Phone
(479) 631-6074
NPI assigned
Apr 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2019

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

Authorized official

Name
Dr. Patrick Edward Driver, DDS
Title
Periodontist
Phone
(479) 631-6074

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X Primary

Addresses

Primary practice location

201 N 34TH St
Rogers, AR 72756-0352

Mailing address

201 N 34TH St
Rogers, AR 72756-0352

Other names 1

  • Periodontal and Implant Solutions of Arkansas Doing business as

National Provider Directory

National Provider Directory

Locations

201 N 34th St
Rogers, AR 72756
Phone (479) 265-1400

NPI Registry JSON

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554249600000",
    "number": "1447712856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N 34TH ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727560352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N 34TH ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727560352",
            "telephone_number": "479-631-6074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. PATRICK DRIVER, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-03",
        "last_updated": "2019-04-03",
        "status": "A",
        "authorized_official_last_name": "DRIVER",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PERIODONTIST",
        "authorized_official_telephone_number": "479-631-6074",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Periodontal and Implant Solutions of Arkansas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rogers, AR

Sources for this page

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