Organization Active NPI

Wardlaw Orthodontics, P.a.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Little Rock, AR
National Provider Identifier
1447875729
Registry record updated Jun 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
WARDLAW ORTHODONTICS, P.A.
Practice address
8315 Cantrell Rd Ste 100
Little Rock, AR 72227-2354
Phone
(501) 227-5757
Fax
(501) 227-0139
NPI assigned
Jun 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2020

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

Authorized official

Name
Ms. Kimberly D Covert
Title
Office Coordinator
Phone
(501) 227-5757

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

8315 Cantrell Rd Ste 100
Little Rock, AR 72227-2354

Mailing address

8315 Cantrell Rd Ste 100
Little Rock, AR 72227-2354
Phone (501) 227-5757

National Provider Directory

National Provider Directory

Locations

8315 Cantrell Rd
Ste 100
Little Rock, AR 72227
Phone (501) 227-5757

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591833600000",
    "number": "1447875729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8315 CANTRELL RD STE 100",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722272354",
            "telephone_number": "501-227-5757",
            "fax_number": "501-227-0139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8315 CANTRELL RD STE 100",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722272354",
            "telephone_number": "501-227-5757",
            "fax_number": "501-227-0139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARDLAW ORTHODONTICS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-11",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A",
        "authorized_official_last_name": "COVERT",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICE COORDINATOR",
        "authorized_official_telephone_number": "501-227-5757",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; 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.