Active NPI
Brittany Mitchell, DDS
- Dentist
- Marianna, AR
National Provider Identifier
1447863147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 4270
- Practice address
- 530 Atkins Blvd
Marianna, AR 72360-2198 - Phone
- (501) 295-5225
- NPI assigned
- Aug 24, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 4270 | AR | Primary |
Addresses
Primary practice location
530 Atkins Blvd
Marianna, AR 72360-2198
Mailing address
530 Atkins Blvd
Marianna, AR 72360-2198
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4270 | AR | MD | Dentist |
| 41179 | TX | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tyler Family Circle of Care | Current | Accepting new patients | |
| Lee County Cooperative Clinic | Current | Accepting new patients | |
| Lee County Cooperative Clinic | Current | Accepting new patients | |
| Tyler Family Circle of Care | Past | Accepting new patients |
Locations
530 Atkins Blvd
Marianna, AR 72360
523 S Fannin Ave
Tyler, TX 75702
110 E 9th St
Tyler, TX 75701
Phone (903) 593-6585
214 E Houston St
Tyler, TX 75702
Phone (903) 593-1892
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Marianna, AR
- NPI 1669480836
-
dba Family Circle of Care
- Federally Qualified Health Center (FQHC)
- Tyler, TX
- NPI 1144575820
-
dba Lakeview Satellite Clinic
- Federally Qualified Health Center (FQHC)
- Wabash, AR
- NPI 1356359442
-
dba Family Circle of Care
- Community/Retail Pharmacy
- Tyler, TX
- NPI 1942011903
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598227200000",
"number": "1447863147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 ATKINS BLVD",
"city": "MARIANNA",
"state": "AR",
"postal_code": "723602198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 ATKINS BLVD",
"city": "MARIANNA",
"state": "AR",
"postal_code": "723602198",
"telephone_number": "501-295-5225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "BRITTANY",
"name_prefix": "Ms.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-24",
"last_updated": "2020-08-24",
"certification_date": "2020-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AR",
"license": "4270",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marianna, AR
- Ashley McCoy, RN
- Kimberly McFadden
- Charlotte McKee, RN
- Dixie Quinn Meyer, OTR
- Harry Andre Michel, M.D.
- Louis C Mitchell, DDS
- Roneisha Nash
- Zenobia L Newman, FNP-BC
- Northeast Arkansas Community Mental Health Center Inc (MidSouth Health Systems)
- Northeast Arkansas Community Mental Health Center Inc (Mid-South Health Systems)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.