Organization Active NPI

Nancy E. Malcolm LTD

  • Public Health Dentistry
  • Jonesboro, AR
National Provider Identifier
1467875161
Registry record updated Nov 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
License
3232 Issued in AR
Legal business name
NANCY E. MALCOLM LTD
Practice address
910 Enterprise Dr
Jonesboro, AR 72401-9239
Phone
(870) 935-7337
NPI assigned
Jan 31, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2014

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

Authorized official

Name
Dr. Nancy Elizabeth Malcolm, D.D.S.
Title
Owner/Dentist
Phone
(870) 935-7337

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223D0001X 3232 AR Primary

Addresses

Primary practice location

910 Enterprise Dr
Jonesboro, AR 72401-9239

Mailing address

910 Enterprise Dr
Jonesboro, AR 72401-9239
Phone (870) 935-7337

National Provider Directory

National Provider Directory

Locations

910 Enterprise Dr
Jonesboro, AR 72401
Phone (870) 935-7337

NPI Registry JSON

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

{
    "created_epoch": "1391126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415923200000",
    "number": "1467875161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 ENTERPRISE DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724019239",
            "telephone_number": "870-935-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 ENTERPRISE DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724019239",
            "telephone_number": "870-935-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY E. MALCOLM LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-31",
        "last_updated": "2014-11-14",
        "status": "A",
        "authorized_official_last_name": "MALCOLM",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "870-935-7337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": "AR",
            "license": "3232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2014; 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.