Individual provider Active NPI

James Stephen Raines

  • Dentist
  • Hot Springs Village, AR
National Provider Identifier
1477064004
Registry record updated Oct 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4165 Issued in AR
Practice address
1396 Desoto Blvd
Hot Springs Village, AR 71909-7633
Phone
(501) 922-1045
NPI assigned
Oct 23, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 4165 AR Primary

Addresses

Primary practice location

1396 Desoto Blvd
Hot Springs Village, AR 71909-7633

Mailing address

1396 Desoto Boulevard
Hot Springs Village, AR 71909
Phone (501) 922-1045

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4165ARMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
J. Stephen Raines DDS PLLC CurrentSince Jan 26, 2020 Accepting new patients
Village Dental Center, PLLC PastSince Jun 21, 2022 Accepting new patients
Cooper Dental PLLC PastSince Nov 30, 2025 Accepting new patients

Locations

216 E Carpenter St
Benton, AR 72015
Phone (501) 315-1512

Organizations & group practices 3

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": "1508716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508716800000",
    "number": "1477064004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1396 DESOTO BOULEVARD",
            "city": "HOT SPRINGS VILLAGE",
            "state": "AR",
            "postal_code": "71909",
            "telephone_number": "501-922-1045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1396 DESOTO BLVD",
            "city": "HOT SPRINGS VILLAGE",
            "state": "AR",
            "postal_code": "719097633",
            "telephone_number": "501-922-1045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAINES",
        "first_name": "JAMES",
        "middle_name": "STEPHEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-23",
        "last_updated": "2017-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AR",
            "license": "4165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs Village, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.