Organization Active NPI

Axpm-Harrison PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Berryville, AR
National Provider Identifier
1467984716
Registry record updated Mar 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
AXPM-HARRISON PLLC
Practice address
303 Eureka Ave
Berryville, AR 72616-3833
Phone
(501) 781-2777
NPI assigned
Mar 28, 2017
Last updated
Mar 28, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2017

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

Authorized official

Name
Mark L Dake
Title
DDS
Phone
(501) 781-2777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X NU Primary

Addresses

Primary practice location

303 Eureka Ave
Berryville, AR 72616-3833

Mailing address

PO Box 3450
Little Rock, AR 72203-3450
Phone (501) 781-2777

National Provider Directory

National Provider Directory

Locations

303 Eureka Ave
Berryville, AR 72616
Phone (501) 781-2777

NPI Registry JSON

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

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490659200000",
    "number": "1467984716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3450",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722033450",
            "telephone_number": "501-781-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 EUREKA AVE",
            "city": "BERRYVILLE",
            "state": "AR",
            "postal_code": "726163833",
            "telephone_number": "501-781-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXPM-HARRISON PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-28",
        "last_updated": "2017-03-28",
        "status": "A",
        "authorized_official_last_name": "DAKE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "501-781-2777"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berryville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; 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.