Organization Active NPI

Axpm- Springdale Dental PLLC

Doing business as Rock Family Dental-Springdale1333 Arapaho Ave Ste BSpringdaleAR727

  • General Practice Dentistry
  • Springdale, AR
National Provider Identifier
1477097608
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
AXPM- SPRINGDALE DENTAL PLLC
Doing business as
Rock Family Dental-Springdale1333 Arapaho Ave Ste BSpringdaleAR727
Practice address
1333 Arapaho Ave
Ste B
Springdale, AR 72764-6936
Phone
(479) 419-5959
Fax
(479) 935-9248
NPI assigned
Dec 7, 2016
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

1333 Arapaho Ave
Ste B
Springdale, AR 72764-6936

Mailing address

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

Other names 1

  • Rock Family Dental-Springdale1333 Arapaho Ave Ste BSpringdaleAR727 Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1481068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1477097608",
    "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",
            "fax_number": "501-581-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 ARAPAHO AVE",
            "address_2": "STE B",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727646936",
            "telephone_number": "479-419-5959",
            "fax_number": "479-935-9248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXPM- SPRINGDALE DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DAKE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-781-2777",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rock Family Dental-Springdale1333 Arapaho Ave Ste BSpringdaleAR727",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springdale, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.