Individual provider Active NPI

Brittany Mitchell, DDS

  • Dentist
  • Marianna, AR
National Provider Identifier
1447863147
Registry record updated Aug 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4270 Issued in AR
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

Updated by the provider on Aug 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, TX2 enrollments
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.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210225000537 AR Practitioner - Dentist 8628483682 Reassigns benefits to 1 organization
I20250610004006 TX Practitioner - Dentist 8628483682 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4270ARMDDentist
41179TXMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tyler Family Circle of Care CurrentSince Apr 7, 2025 Accepting new patients
Lee County Cooperative Clinic CurrentSince Nov 21, 2020 Accepting new patients
Lee County Cooperative Clinic CurrentSince Nov 21, 2020 Accepting new patients
Tyler Family Circle of Care PastSince Jan 19, 2025 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.

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

Sources for this page

Verify at the official NPI Registry.